Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $245.47	Facility		$158.49	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $223.87	Professional		$123.03	$147.91	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $707.95 / $954.99	Facility		$223.87	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $323.59	Professional		$144.54	$194.98	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $229.09	Professional		$123.03	$162.18	$229.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,348.96	Facility		$501.19	$870.96	$1,348.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $316.23	Professional		$109.65	$154.88	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $912.01	Facility		$416.87	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $263.03	Professional		$91.20	$144.54	$263.03