Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $212.24 / $10,670.62	Facility		$173.03	$212.24	$10,670.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $208.79	Professional		$173.03	$173.03	$208.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $217.44	Facility		$163.24	$173.03	$217.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $179.56	Professional		$173.03	$173.03	$179.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $179.56 / $217.40	Professional		$179.56	$179.56	$217.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.92 / $373.92 / $13,785.00	Facility		$164.92	$373.92	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $164.92 / $172.55	Professional		$149.72	$164.92	$172.55
United Facility/Professional Facility Modifier Low / Median / High Price $128.58 / $128.58 / $173.03	Facility		$128.58	$128.58	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $182.55 / $212.04	Professional		$173.03	$182.55	$212.04