Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.56 / $288.93 / $1,019.87	Facility		$115.56	$288.93	$1,019.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $143.11 / $185.35	Professional		$115.57	$143.11	$185.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $275.85 / $686.11	Facility		$213.15	$275.85	$686.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $239.27 / $313.36	Professional		$115.57	$239.27	$313.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $109.03 / $130.84	Professional		$87.22	$109.03	$130.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $8,702.00	Facility		$218.06	$218.06	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $204.94 / $204.94	Professional		$204.94	$204.94	$204.94
United Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $76.31 / $149.81	Facility		$76.31	$76.31	$149.81
United Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $130.84 / $235.50	Professional		$84.43	$130.84	$235.50