Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $82.39 / $200.28	Facility		$77.95	$82.39	$200.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $87.05	Professional		$79.86	$79.86	$87.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $158.38 / $204.97	Facility		$79.86	$158.38	$204.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $82.11	Professional		$79.86	$79.86	$82.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $86.64 / $108.13	Professional		$82.87	$86.64	$108.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.05 / $151.41 / $13,785.00	Facility		$133.05	$151.41	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $63.38 / $121.05	Professional		$63.18	$63.38	$121.05
United Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $152.44 / $152.44	Facility		$152.44	$152.44	$152.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.38 / $95.83	Professional		$79.86	$84.38	$95.83