Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.98 / $137.49 / $524.29	Facility		$59.98	$137.49	$524.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $74.27 / $96.19	Professional		$59.98	$74.27	$96.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $202.09 / $420.02	Facility		$89.60	$202.09	$420.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $59.58 / $59.58	Professional		$59.58	$59.58	$59.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $120.07 / $167.00	Professional		$96.24	$120.07	$167.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $13,785.00 / $13,785.00	Facility		$91.66	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $113.17	Professional		$38.50	$55.00	$113.17