Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.28 / $362.85 / $1,383.67	Facility		$158.28	$362.85	$1,383.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $198.36 / $253.84	Professional		$158.28	$198.36	$253.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.46 / $533.37 / $1,108.47	Facility		$236.46	$533.37	$1,108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $275.69 / $606.80	Professional		$159.97	$275.69	$606.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $254.00 / $350.76	Professional		$169.33	$254.00	$350.76
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 $101.60 / $145.13 / $306.11	Professional		$101.60	$145.13	$306.11