Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.61 / $181.53 / $783.64	Facility		$72.61	$181.53	$783.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $106.86 / $130.15	Professional		$72.61	$106.86	$130.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $301.69 / $627.78	Facility		$133.91	$301.69	$627.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $141.65 / $288.99	Professional		$77.16	$141.65	$288.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $143.85 / $198.65	Professional		$95.90	$143.85	$198.65
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 Facility Modifier Low / Median / High Price $123.30 / $123.30 / $164.40	Facility		$123.30	$123.30	$164.40
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $139.74	Professional		$57.54	$82.20	$139.74