Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $95.67 / $463.44	Facility		$49.06	$95.67	$463.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $81.04 / $108.63	Professional		$49.06	$81.04	$108.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $243.23 / $372.21	Facility		$163.01	$243.23	$372.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $69.48 / $193.11	Professional		$45.26	$69.48	$193.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $94.51 / $145.41	Professional		$75.18	$94.51	$145.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $401.24 / $13,785.00	Facility		$90.53	$401.24	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $157.46 / $298.42	Professional		$128.26	$157.46	$298.42
United Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $155.88 / $155.88	Facility		$155.88	$155.88	$155.88
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $61.08 / $94.88	Professional		$36.61	$61.08	$94.88