Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.20 / $254.99 / $1,290.07	Facility		$113.20	$254.99	$1,290.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $153.91 / $196.94	Professional		$113.20	$153.91	$196.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.65 / $456.86 / $949.97	Facility		$202.65	$456.86	$949.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $241.62 / $514.60	Professional		$137.00	$241.62	$514.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $217.68 / $300.60	Professional		$145.12	$217.68	$300.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.12 / $8,702.00 / $13,785.00	Facility		$145.12	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $145.12 / $145.12	Professional		$145.12	$145.12	$145.12
United Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $207.31 / $425.51	Facility		$97.44	$207.31	$425.51
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $282.83	Professional		$87.07	$124.39	$282.83