Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $116.53 / $541.91	Facility		$77.06	$116.53	$541.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $77.06 / $196.38	Professional		$73.90	$77.06	$196.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $208.58 / $434.13	Facility		$92.61	$208.58	$434.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $110.28 / $227.62	Professional		$60.77	$110.28	$227.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $99.48 / $137.37	Professional		$66.31	$99.48	$137.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $13,785.00 / $13,785.00	Facility		$66.31	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Professional		$66.31	$66.31	$66.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $56.84 / $125.25	Professional		$39.79	$56.84	$125.25