Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.77 / $341.93 / $1,358.71	Facility		$136.77	$341.93	$1,358.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $206.19 / $251.12	Professional		$136.77	$206.19	$251.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $582.44 / $1,211.30	Facility		$258.39	$582.44	$1,211.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $239.76 / $510.92	Professional		$142.21	$239.76	$510.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.04 / $277.56 / $481.63	Professional		$185.04	$277.56	$481.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.04 / $8,702.00 / $13,785.00	Facility		$185.04	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.04 / $185.04 / $185.04	Professional		$185.04	$185.04	$185.04
United Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $211.47 / $330.43	Professional		$113.91	$211.47	$330.43