Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $234.38 / $1,136.79	Facility		$87.73	$234.38	$1,136.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $122.15 / $140.69	Professional		$87.73	$122.15	$140.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.61 / $328.39 / $701.04	Facility		$145.61	$328.39	$701.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $96.83	Professional		$96.83	$96.83	$96.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $260.35 / $362.10	Professional		$208.68	$260.35	$362.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $89.38 / $178.76	Professional		$62.56	$89.38	$178.76