Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $370.99 / $782.26	Facility		$100.86	$370.99	$782.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $116.70 / $155.91	Professional		$100.86	$116.70	$155.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $287.25 / $597.30	Facility		$127.79	$287.25	$597.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $161.90 / $364.08	Professional		$94.94	$161.90	$364.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $136.87 / $189.01	Professional		$91.25	$136.87	$189.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $13,785.00 / $13,785.00	Facility		$91.25	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $91.25 / $91.25	Professional		$91.25	$91.25	$91.25
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $156.41	Professional		$54.75	$78.20	$156.41