Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.11 / $235.28 / $1,015.64	Facility		$94.11	$235.28	$1,015.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $116.53 / $150.93	Professional		$94.11	$116.53	$150.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.56 / $391.18 / $813.64	Facility		$173.56	$391.18	$813.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $105.17 / $204.02	Professional		$82.11	$105.17	$204.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $97.66 / $142.05	Professional		$71.02	$97.66	$142.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $119.80 / $119.80	Professional		$119.80	$119.80	$119.80
United Facility/Professional Facility Modifier Low / Median / High Price $97.66 / $97.66 / $178.00	Facility		$97.66	$97.66	$178.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $106.54 / $182.00	Professional		$71.02	$106.54	$182.00