Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.50 / $250.31 / $1,164.02	Facility		$173.50	$250.31	$1,164.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $173.50 / $193.33	Professional		$122.10	$173.50	$193.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.77 / $448.20 / $932.51	Facility		$221.77	$448.20	$932.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $217.51 / $436.09	Professional		$121.14	$217.51	$436.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $213.68 / $295.08	Professional		$142.44	$213.68	$295.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $13,785.00 / $13,785.00	Facility		$142.44	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $142.44 / $142.44	Professional		$142.44	$142.44	$142.44
United Facility/Professional Facility Modifier Low / Median / High Price $111.93 / $111.93 / $111.93	Facility		$111.93	$111.93	$111.93
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $221.66	Professional		$85.47	$122.10	$221.66