Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $299.89 / $851.32	Facility		$243.71	$299.89	$851.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $285.14	Professional		$243.71	$243.71	$285.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $262.20 / $339.33	Facility		$243.71	$262.20	$339.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $252.91	Professional		$243.71	$243.71	$252.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.72 / $239.72 / $297.33	Professional		$239.72	$239.72	$297.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.02 / $528.36 / $13,785.00	Facility		$406.02	$528.36	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.98 / $236.28 / $239.83	Professional		$218.98	$236.28	$239.83
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $255.90 / $288.73	Professional		$243.71	$255.90	$288.73