Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $263.03 / $588.84	Facility		$120.23	$263.03	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $194.98	Professional		$72.44	$79.43	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $436.52	Facility		$109.65	$208.93	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $186.21	Professional		$57.54	$107.15	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $181.97	Professional		$66.07	$104.71	$181.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $10,471.29 / $25,118.86	Facility		$95.50	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $95.50 / $194.98	Facility		$44.67	$95.50	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $125.89	Professional		$38.90	$56.23	$125.89