Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $149.94 / $626.62	Facility		$79.78	$149.94	$626.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $98.79 / $127.94	Professional		$79.78	$98.79	$127.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $268.49 / $558.63	Facility		$119.17	$268.49	$558.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $88.05	Professional		$88.05	$88.05	$88.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $159.69 / $222.12	Professional		$128.01	$159.69	$222.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $13,785.00 / $13,785.00	Facility		$121.91	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $73.15 / $153.53	Professional		$51.20	$73.15	$153.53