Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $245.94 / $937.85	Facility		$107.28	$245.94	$937.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $132.85 / $172.06	Professional		$107.28	$132.85	$172.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.27 / $361.59 / $751.32	Facility		$160.27	$361.59	$751.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $106.58 / $106.58	Professional		$106.58	$106.58	$106.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $214.79 / $298.74	Professional		$172.16	$214.79	$298.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $13,785.00 / $13,785.00	Facility		$163.96	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $90.18 / $90.18 / $90.18	Facility		$90.18	$90.18	$90.18
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $207.48	Professional		$68.86	$98.38	$207.48