Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $400.59 / $1,795.97	Facility		$101.76	$400.59	$1,795.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $149.76 / $220.80	Professional		$101.76	$149.76	$220.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.36 / $519.16 / $1,208.97	Facility		$375.36	$519.16	$1,208.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $503.04 / $699.65	Professional		$268.80	$503.04	$699.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.80 / $268.80 / $8,702.00	Facility		$268.80	$268.80	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $115.20 / $256.68	Professional		$80.64	$115.20	$256.68