Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $258.61 / $45,182.18	Facility		$183.47	$258.61	$45,182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $221.93	Professional		$183.48	$183.48	$221.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $194.08 / $251.16	Facility		$173.09	$194.08	$251.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $190.40	Professional		$183.48	$183.48	$190.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $176.97 / $223.85	Professional		$176.97	$176.97	$223.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $778.41 / $13,785.00	Facility		$180.22	$778.41	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $173.74 / $176.91	Professional		$160.38	$173.74	$176.91
United Facility/Professional Facility Modifier Low / Median / High Price $158.84 / $158.84 / $219.87	Facility		$158.84	$158.84	$219.87
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $193.86 / $217.31	Professional		$183.48	$193.86	$217.31