Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $329.28 / $1,421.48	Facility		$256.83	$329.28	$1,421.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $196.32 / $198.81	Professional		$186.38	$196.32	$198.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.92 / $547.79 / $1,138.76	Facility		$242.92	$547.79	$1,138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $198.81 / $198.81	Professional		$198.81	$198.81	$198.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.94 / $325.55 / $452.79	Professional		$260.94	$325.55	$452.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $8,702.00 / $13,785.00	Facility		$248.51	$8,702.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $149.11 / $254.72	Professional		$104.37	$149.11	$254.72