Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.12 / $253.54 / $564.79	Facility		$207.12	$253.54	$564.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $227.84	Professional		$207.13	$207.13	$227.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $217.74 / $281.77	Facility		$207.13	$217.74	$281.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $214.94	Professional		$207.13	$207.13	$214.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $224.71 / $252.69	Professional		$214.94	$224.71	$252.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.04 / $345.08 / $13,785.00	Facility		$205.04	$345.08	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.04 / $206.13 / $216.99	Professional		$205.04	$206.13	$216.99
United Facility/Professional Facility Modifier Low / Median / High Price $174.20 / $174.20 / $174.20	Facility		$174.20	$174.20	$174.20
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $218.85 / $246.94	Professional		$207.13	$218.85	$246.94