Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.75 / $232.04 / $460.31	Facility		$188.75	$232.04	$460.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $209.71	Professional		$188.76	$188.76	$209.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.64 / $188.76 / $236.36	Facility		$182.64	$188.76	$236.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $195.88	Professional		$188.76	$188.76	$195.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $182.26 / $230.29	Professional		$182.26	$182.26	$230.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.65 / $408.80 / $13,785.00	Facility		$188.65	$408.80	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $182.15 / $182.15	Professional		$155.33	$182.15	$182.15
United Facility/Professional Facility Modifier Low / Median / High Price $405.60 / $405.60 / $405.60	Facility		$405.60	$405.60	$405.60
United Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $199.03 / $219.49	Professional		$188.65	$199.03	$219.49