Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $148.49 / $690.52	Facility		$61.08	$148.49	$690.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $90.54 / $144.38	Professional		$61.08	$90.54	$144.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.01 / $266.32 / $553.17	Facility		$118.01	$266.32	$553.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.98 / $132.46	Professional		$63.47	$63.98	$132.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $60.36 / $72.43	Professional		$48.29	$60.36	$72.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $3,243.00 / $13,785.00	Facility		$84.50	$3,243.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $84.50 / $120.72	Professional		$84.50	$84.50	$120.72
United Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $66.40 / $134.00	Facility		$66.40	$66.40	$134.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $72.43 / $163.16	Professional		$48.29	$72.43	$163.16