Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.87 / $327.18 / $1,412.38	Facility		$130.87	$327.18	$1,412.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $162.05 / $209.88	Professional		$130.87	$162.05	$209.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $544.19 / $1,131.47	Facility		$241.37	$544.19	$1,131.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $270.93 / $354.66	Professional		$130.87	$270.93	$354.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $123.46 / $148.15	Professional		$98.77	$123.46	$148.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $197.54 / $197.54	Professional		$197.54	$197.54	$197.54
United Facility/Professional Facility Modifier Low / Median / High Price $116.05 / $246.92 / $506.81	Facility		$116.05	$246.92	$506.81
United Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $148.15 / $253.09	Professional		$95.60	$148.15	$253.09