Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $13,182.57	Facility		$134.90	$165.96	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $154.88	Professional		$104.71	$107.15	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $151.36	Facility		$100.00	$117.49	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $128.82	Professional		$109.65	$114.82	$128.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $9,549.93 / $25,118.86	Facility		$194.98	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $100.00	Professional		$97.72	$97.72	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $177.83	Facility		$83.18	$117.49	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $120.23	Professional		$97.72	$104.71	$120.23