Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.75 / $461.25 / $2,145.00	Facility		$198.75	$461.25	$2,145.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $292.50 / $318.75	Professional		$198.75	$292.50	$318.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.56 / $826.39 / $1,718.38	Facility		$366.56	$826.39	$1,718.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $219.38 / $219.38	Professional		$219.38	$219.38	$219.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $393.75 / $491.25 / $683.25	Professional		$393.75	$491.25	$683.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $8,702.00 / $13,785.00	Facility		$1,165.00	$8,702.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $225.00 / $382.50	Professional		$155.62	$225.00	$382.50