Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $256.97 / $1,195.02	Facility		$192.50	$256.97	$1,195.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $192.50 / $200.27	Professional		$155.10	$192.50	$200.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.22 / $460.47 / $957.34	Facility		$204.22	$460.47	$957.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $243.32 / $518.51	Professional		$138.07	$243.32	$518.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $219.37 / $302.93	Professional		$146.24	$219.37	$302.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.24 / $13,785.00 / $13,785.00	Facility		$146.24	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $146.24 / $146.24	Professional		$146.24	$146.24	$146.24
United Facility/Professional Facility Modifier Low / Median / High Price $188.03 / $188.03 / $250.70	Facility		$188.03	$188.03	$250.70
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $125.35 / $285.02	Professional		$86.70	$125.35	$285.02