Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.64 / $310.97 / $1,290.07	Facility		$228.64	$310.97	$1,290.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $234.75 / $366.68	Professional		$163.77	$234.75	$366.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.41 / $456.86 / $949.97	Facility		$238.41	$456.86	$949.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $256.20 / $646.52	Professional		$137.00	$256.20	$646.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $217.68 / $357.16	Professional		$145.12	$217.68	$357.16
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 Professional Modifier Low / Median / High Price $87.07 / $124.39 / $431.39	Professional		$87.07	$124.39	$431.39