Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.77 / $391.93 / $1,520.36	Facility		$156.77	$391.93	$1,520.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $233.67 / $281.00	Professional		$156.77	$233.67	$281.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.14 / $651.73 / $1,355.41	Facility		$289.14	$651.73	$1,355.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $295.45 / $600.96	Professional		$166.14	$295.45	$600.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $310.58 / $428.90	Professional		$207.05	$310.58	$428.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $13,785.00 / $13,785.00	Facility		$4,207.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $319.45	Professional		$124.23	$177.47	$319.45