Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $389.05 / $1,737.80	Facility		$81.28	$389.05	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $239.88 / $346.74	Professional		$33.88	$239.88	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $660.69 / $1,380.38	Facility		$346.74	$660.69	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $85.11 / $389.05	Professional		$33.88	$85.11	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $316.23 / $575.44	Professional		$46.77	$316.23	$575.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,118.86	Facility		$134.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $302.00	Professional		$239.88	$239.88	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $616.60	Facility		$141.25	$302.00	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $144.54 / $213.80	Professional		$35.48	$144.54	$213.80