Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $389.05 / $1,023.29	Facility		$169.82	$389.05	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $251.19	Professional		$97.72	$138.04	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $371.54 / $776.25	Facility		$194.98	$371.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $165.96 / $251.19	Professional		$75.86	$165.96	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $323.59	Professional		$107.15	$177.83	$323.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Professional		$134.90	$134.90	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $169.82 / $346.74	Facility		$79.43	$169.82	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $169.82	Professional		$58.88	$102.33	$169.82