Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $177.73 / $767.22	Facility		$71.09	$177.73	$767.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $104.62 / $114.01	Professional		$71.09	$104.62	$114.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $295.91 / $614.63	Facility		$131.11	$295.91	$614.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $107.30 / $107.30	Professional		$107.30	$107.30	$107.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $175.71 / $244.38	Professional		$140.84	$175.71	$244.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $13,785.00 / $13,785.00	Facility		$134.13	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $134.13 / $275.30	Facility		$63.04	$134.13	$275.30
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $137.47	Professional		$56.33	$80.48	$137.47