Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.81 / $159.81 / $240.14	Facility		$159.81	$159.81	$240.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $145.15 / $171.97	Professional		$124.94	$145.15	$171.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.19 / $759.25 / $958.40	Facility		$632.19	$759.25	$958.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $196.38 / $327.02	Professional		$145.68	$196.38	$327.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $183.63 / $260.39	Professional		$135.47	$183.63	$260.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.96 / $757.08 / $1,641.70	Facility		$610.96	$757.08	$1,641.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $156.00 / $264.49	Professional		$109.87	$156.00	$264.49
United Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $141.49 / $267.95	Professional		$96.24	$141.49	$267.95