Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $192.80 / $896.61	Facility		$83.08	$192.80	$896.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $117.56 / $133.24	Professional		$83.08	$117.56	$133.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $231.70 / $494.04	Facility		$153.22	$231.70	$494.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $205.34 / $285.60	Professional		$164.59	$205.34	$285.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $109.73 / $8,702.00	Facility		$109.73	$109.73	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $141.08 / $141.08 / $188.10	Facility		$141.08	$141.08	$188.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $94.05 / $159.88	Professional		$60.69	$94.05	$159.88