Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $660.69	Facility		$251.19	$295.12	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $288.40	Professional		$194.98	$199.53	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $218.78 / $288.40	Facility		$186.21	$218.78	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $9,549.93 / $25,118.86	Facility		$194.98	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $229.09 / $331.13	Facility		$154.88	$229.09	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $223.87	Professional		$190.55	$199.53	$223.87