Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $387.55 / $1,660.01	Facility		$190.18	$387.55	$1,660.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $258.37 / $305.02	Professional		$190.19	$258.37	$305.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.69 / $711.64 / $1,479.92	Facility		$315.69	$711.64	$1,479.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $209.93 / $209.93	Professional		$209.93	$209.93	$209.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $423.08 / $588.42	Professional		$339.11	$423.08	$588.42
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 $129.18 / $193.78 / $358.85	Professional		$129.18	$193.78	$358.85