Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.52 / $243.28 / $1,104.00	Facility		$42.52	$243.28	$1,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $82.11 / $162.31	Professional		$40.36	$82.11	$162.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.71 / $431.71 / $518.47	Facility		$431.71	$431.71	$518.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $137.66 / $264.20	Professional		$48.57	$137.66	$264.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $191.73 / $253.39	Professional		$129.38	$191.73	$253.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.24 / $512.24 / $1,110.76	Facility		$512.24	$512.24	$1,110.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $165.36 / $240.60	Professional		$127.78	$165.36	$240.60
United Facility/Professional Facility Modifier Low / Median / High Price $406.40 / $734.83 / $886.05	Facility		$406.40	$734.83	$886.05
United Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $144.13 / $226.47	Professional		$104.04	$144.13	$226.47