Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $162.19 / $728.90	Facility		$152.91	$162.19	$728.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $121.06 / $162.19	Professional		$82.68	$121.06	$162.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.54 / $280.76 / $583.92	Facility		$146.54	$280.76	$583.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $140.84 / $276.54	Professional		$76.34	$140.84	$276.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $133.80 / $184.77	Professional		$89.20	$133.80	$184.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $8,702.00 / $13,785.00	Facility		$89.20	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $89.20 / $89.20	Professional		$89.20	$89.20	$89.20
United Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $127.00	Facility		$70.09	$70.09	$127.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $76.45 / $151.93	Professional		$53.52	$76.45	$151.93