Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $131.61 / $612.04	Facility		$56.71	$131.61	$612.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $80.25 / $90.95	Professional		$56.71	$80.25	$90.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.59 / $236.01 / $490.31	Facility		$104.59	$236.01	$490.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $62.60 / $62.60	Professional		$62.60	$62.60	$62.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $140.16 / $194.95	Professional		$112.35	$140.16	$194.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $64.20 / $109.14	Professional		$44.40	$64.20	$109.14