Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $825.00 / $1,736.19	Facility		$279.00	$825.00	$1,736.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $279.00 / $825.00	Professional		$84.67	$279.00	$825.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.72 / $614.91 / $1,278.48	Facility		$272.72	$614.91	$1,278.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $278.74 / $598.29	Professional		$156.63	$278.74	$598.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $292.95 / $404.55	Professional		$195.30	$292.95	$404.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $13,785.00 / $13,785.00	Facility		$279.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $153.44 / $153.44	Facility		$153.44	$153.44	$153.44
United Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $149.41 / $191.76	Professional		$85.58	$149.41	$191.76