Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $193.91 / $1,104.00	Facility		$21.63	$193.91	$1,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $133.16 / $232.70	Professional		$21.52	$133.16	$232.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.12 / $682.12 / $819.22	Facility		$682.12	$682.12	$819.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $185.12 / $410.32	Professional		$27.09	$185.12	$410.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $234.05 / $305.93	Professional		$176.84	$234.05	$305.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.26 / $806.41 / $1,537.91	Facility		$672.26	$806.41	$1,537.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $259.38 / $392.19	Professional		$200.43	$259.38	$392.19
United Facility/Professional Professional Modifier Low / Median / High Price $139.56 / $226.86 / $356.17	Professional		$139.56	$226.86	$356.17