Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $364.15 / $1,572.03	Facility		$145.66	$364.15	$1,572.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $214.37 / $233.61	Professional		$145.66	$214.37	$233.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $405.84 / $865.38	Facility		$268.64	$405.84	$865.38
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 $210.95 / $210.95 / $8,702.00	Facility		$210.95	$210.95	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $280.33	Professional		$115.43	$164.90	$280.33