Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $140.44 / $271.20	Facility		$95.90	$140.44	$271.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $121.79	Professional		$95.90	$95.90	$121.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $303.93 / $1,771.27	Facility		$95.90	$303.93	$1,771.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $104.04	Professional		$95.90	$95.90	$104.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $104.04 / $129.85	Professional		$99.52	$104.04	$129.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.10 / $8,702.00 / $13,785.00	Facility		$234.10	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $157.10 / $191.22	Professional		$108.03	$157.10	$191.22
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $174.89	Professional		$95.90	$101.65	$174.89