Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $274.68 / $1,185.81	Facility		$109.87	$274.68	$1,185.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $161.69 / $196.94	Professional		$109.87	$161.69	$196.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.65 / $456.86 / $949.97	Facility		$202.65	$456.86	$949.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $215.07 / $444.51	Professional		$120.61	$215.07	$444.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $217.68 / $300.60	Professional		$145.12	$217.68	$300.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $114.02 / $114.02 / $207.00	Facility		$114.02	$114.02	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $124.39 / $223.89	Professional		$86.03	$124.39	$223.89