Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $66.62 / $1,413.75	Facility		$66.62	$66.62	$1,413.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $292.33 / $382.05	Professional		$66.62	$292.33	$382.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $110.44 / $406.57	Facility		$110.44	$110.44	$406.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $88.00 / $152.82	Professional		$52.37	$88.00	$152.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $608.10 / $608.10 / $608.10	Professional		$608.10	$608.10	$608.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.72 / $976.93 / $1,863.09	Facility		$400.72	$976.93	$1,863.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $15.08 / $296.17	Professional		$12.82	$15.08	$296.17
United Facility/Professional Facility Modifier Low / Median / High Price $552.20 / $552.20 / $552.20	Facility		$552.20	$552.20	$552.20
United Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $423.18 / $805.01	Professional		$149.15	$423.18	$805.01