Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.93 / $374.83 / $1,618.07	Facility		$149.93	$374.83	$1,618.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $220.65 / $240.45	Professional		$149.93	$220.65	$240.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $417.93 / $890.99	Facility		$276.51	$417.93	$890.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $370.57 / $515.41	Professional		$198.02	$370.57	$515.41
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 $118.81 / $169.73 / $288.54	Professional		$118.81	$169.73	$288.54