Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.93 / $374.83 / $1,618.07	Facility		$149.93	$374.83	$1,618.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $220.65 / $268.74	Professional		$149.93	$220.65	$268.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $623.58 / $1,296.26	Facility		$276.51	$623.58	$1,296.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $292.61 / $596.99	Professional		$159.40	$292.61	$596.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $297.02 / $410.18	Professional		$198.02	$297.02	$410.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $289.95	Professional		$118.81	$169.73	$289.95