Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $428.21 / $1,361.28	Facility		$240.00	$428.21	$1,361.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $428.21 / $428.21	Professional		$158.00	$428.21	$428.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $440.98 / $916.47	Facility		$195.50	$440.98	$916.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $213.53 / $429.06	Professional		$118.09	$213.53	$429.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $210.00 / $290.00	Professional		$140.00	$210.00	$290.00
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 $84.00 / $120.00 / $204.00	Professional		$84.00	$120.00	$204.00