Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.58 / $238.46 / $475.77	Facility		$213.58	$238.46	$475.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $259.92	Professional		$238.46	$238.46	$259.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $338.78 / $3,832.21	Facility		$238.46	$338.78	$3,832.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $247.45	Professional		$238.46	$238.46	$247.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $258.70 / $357.96	Professional		$247.46	$258.70	$357.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.28 / $1,067.51 / $13,785.00	Facility		$376.28	$1,067.51	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $173.64 / $330.48	Professional		$145.60	$173.64	$330.48
United Facility/Professional Facility Modifier Low / Median / High Price $177.63 / $177.63 / $1,722.02	Facility		$177.63	$177.63	$1,722.02
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $251.96 / $286.14	Professional		$238.46	$251.96	$286.14