Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $380.19 / $1,513.56	Facility		$144.54	$380.19	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.65 / $208.93	Professional		$38.90	$109.65	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $758.58 / $912.01	Facility		$66.07	$758.58	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $138.04 / $281.84	Professional		$46.77	$138.04	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $275.42	Professional		$141.25	$190.55	$275.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,698.24	Facility		$676.08	$1,122.02	$1,698.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $323.59	Professional		$173.78	$213.80	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,380.38	Facility		$630.96	$1,148.15	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $93.33 / $199.53	Professional		$35.48	$93.33	$199.53