Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $436.60 / $1,542.00	Facility		$174.64	$436.60	$1,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $246.00 / $285.00	Professional		$174.64	$246.00	$285.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.25 / $661.11 / $1,374.71	Facility		$293.25	$661.11	$1,374.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $315.19 / $676.26	Professional		$178.44	$315.19	$676.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $315.00 / $435.00	Professional		$210.00	$315.00	$435.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $13,785.00 / $13,785.00	Facility		$300.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $180.00 / $330.01	Professional		$126.00	$180.00	$330.01