Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $290.73 / $859.66	Facility		$116.29	$290.73	$859.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $124.27 / $175.53	Professional		$111.58	$124.27	$175.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $331.28 / $688.68	Facility		$147.34	$331.28	$688.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $189.80 / $434.25	Professional		$109.38	$189.80	$434.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $157.80 / $273.83	Professional		$105.20	$157.80	$273.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.20 / $8,702.00 / $13,785.00	Facility		$105.20	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $105.20 / $105.20	Professional		$105.20	$105.20	$105.20
United Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $82.66 / $82.66	Facility		$82.66	$82.66	$82.66
United Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $131.65 / $219.42	Professional		$67.63	$131.65	$219.42