Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $1,202.26	Facility		$257.04	$323.59	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $199.53	Professional		$128.82	$158.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $912.01	Facility		$229.09	$436.52	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $371.54	Professional		$208.93	$269.15	$371.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $204.17	Professional		$190.55	$199.53	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $199.53 / $407.38	Facility		$93.33	$199.53	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $208.93	Professional		$79.43	$120.23	$208.93