Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.71 / $321.77 / $892.61	Facility		$128.71	$321.77	$892.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $148.91 / $198.94	Professional		$112.07	$148.91	$198.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.75 / $382.52 / $795.77	Facility		$169.75	$382.52	$795.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $210.26 / $480.56	Professional		$121.07	$210.26	$480.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $182.34 / $316.41	Professional		$121.56	$182.34	$316.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $8,702.00 / $13,785.00	Facility		$121.56	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $121.56	Professional		$121.56	$121.56	$121.56
United Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $153.52 / $248.91	Professional		$77.12	$153.52	$248.91