Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $32.03 / $2,045.64	Facility		$4.78	$32.03	$2,045.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.58 / $788.14 / $1,638.79	Facility		$349.58	$788.14	$1,638.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.41 / $410.94 / $513.66	Professional		$392.41	$410.94	$513.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $178.82 / $214.58	Professional		$143.05	$178.82	$214.58
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 $143.05 / $214.58 / $386.24	Professional		$143.05	$214.58	$386.24