Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $271.51 / $1,262.63	Facility		$179.00	$271.51	$1,262.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.18 / $179.00 / $232.02	Professional		$172.18	$179.00	$232.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.77 / $486.45 / $1,011.51	Facility		$215.77	$486.45	$1,011.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $257.26 / $547.86	Professional		$146.02	$257.26	$547.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $231.78 / $320.07	Professional		$154.52	$231.78	$320.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $1,165.00 / $13,785.00	Facility		$154.52	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $154.52 / $154.52	Professional		$154.52	$154.52	$154.52
United Facility/Professional Facility Modifier Low / Median / High Price $121.41 / $121.41 / $121.41	Facility		$121.41	$121.41	$121.41
United Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $132.44 / $301.14	Professional		$91.60	$132.44	$301.14