Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.72 / $345.30 / $1,905.55	Facility		$87.72	$345.30	$1,905.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $108.62 / $140.68	Professional		$87.72	$108.62	$140.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.26 / $897.84 / $1,866.99	Facility		$398.26	$897.84	$1,866.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $96.82 / $96.82	Professional		$96.82	$96.82	$96.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.80 / $533.73 / $742.34	Professional		$427.80	$533.73	$742.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $13,785.00 / $13,785.00	Facility		$407.43	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $99.31 / $218.20	Professional		$69.84	$99.31	$218.20