Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.48 / $105.48 / $1,322.10	Facility		$105.48	$105.48	$1,322.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $131.32 / $191.14	Professional		$79.11	$131.32	$191.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.19 / $632.19 / $759.25	Facility		$632.19	$632.19	$759.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $215.95 / $552.94	Professional		$130.25	$215.95	$552.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $191.12 / $250.11	Professional		$142.00	$191.12	$250.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.85 / $757.08 / $1,537.57	Facility		$693.85	$757.08	$1,537.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $98.75 / $194.51	Professional		$66.30	$98.75	$194.51
United Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $121.99 / $242.93	Professional		$73.04	$121.99	$242.93