Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $191.24 / $1,784.88	Facility		$108.46	$191.24	$1,784.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $132.46	Professional		$108.47	$108.47	$132.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $140.82 / $427.53	Facility		$108.47	$140.82	$427.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $112.56	Professional		$108.47	$108.47	$112.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $117.68 / $146.87	Professional		$108.47	$117.68	$146.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $397.43 / $13,785.00	Facility		$180.71	$397.43	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $150.41 / $157.13	Professional		$92.74	$150.41	$157.13
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $114.44 / $129.08	Professional		$108.47	$114.44	$129.08