Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $354.81	Facility		$123.03	$123.03	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $107.15	Professional		$54.95	$74.13	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $234.42	Facility		$141.25	$204.17	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $173.78	Professional		$39.81	$61.66	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $186.21	Professional		$91.20	$91.20	$186.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $8,709.64 / $23,988.33	Facility		$100.00	$8,709.64	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $269.15	Professional		$104.71	$134.90	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $34.67 / $72.44	Facility		$15.85	$34.67	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $81.28	Professional		$31.62	$51.29	$81.28