Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $329.80 / $1,572.03	Facility		$130.66	$329.80	$1,572.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $209.54 / $233.61	Professional		$130.66	$209.54	$233.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $605.54 / $1,259.36	Facility		$268.64	$605.54	$1,259.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $360.03 / $500.74	Professional		$288.57	$360.03	$500.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $6,950.00 / $8,702.00	Facility		$4,207.00	$6,950.00	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $252.68	Professional		$103.54	$147.91	$252.68