Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $188.98 / $815.84	Facility		$75.59	$188.98	$815.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $111.25 / $121.24	Professional		$75.59	$111.25	$121.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $314.68 / $653.58	Facility		$139.41	$314.68	$653.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $114.10 / $114.10	Professional		$114.10	$114.10	$114.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $186.85 / $259.87	Professional		$149.76	$186.85	$259.87
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
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $171.16	Professional		$59.90	$85.58	$171.16