Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $256.05 / $1,105.39	Facility		$102.42	$256.05	$1,105.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $152.66 / $183.59	Professional		$102.42	$152.66	$183.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $425.83 / $885.54	Facility		$188.90	$425.83	$885.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $193.03 / $392.60	Professional		$108.46	$193.03	$392.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $202.91 / $280.20	Professional		$135.28	$202.91	$280.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.00 / $13,785.00 / $13,785.00	Facility		$3,243.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $115.95 / $208.71	Professional		$80.20	$115.95	$208.71