Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $489.78 / $1,071.52	Facility		$223.87	$489.78	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $316.23	Professional		$128.82	$147.91	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $380.19 / $794.33	Facility		$199.53	$380.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $416.87	Professional		$125.89	$204.17	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $331.13	Professional		$120.23	$194.98	$331.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $9,772.37 / $25,118.86	Facility		$138.04	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $173.78	Professional		$138.04	$138.04	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $354.81	Facility		$81.28	$173.78	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $251.19	Professional		$75.86	$128.82	$251.19