Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $1,949.84	Facility		$416.87	$478.63	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $389.05	Professional		$194.98	$263.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $707.95 / $1,479.11	Facility		$316.23	$707.95	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $371.54 / $489.78	Professional		$169.82	$371.54	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $190.55	Professional		$128.82	$151.36	$190.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $288.40	Professional		$194.98	$208.93	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $660.69	Facility		$151.36	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $363.08	Professional		$128.82	$194.98	$363.08