Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $137.74 / $591.11	Facility		$113.99	$137.74	$591.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $137.74 / $137.74	Professional		$74.09	$137.74	$137.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.85 / $209.30 / $435.28	Facility		$92.85	$209.30	$435.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $99.82 / $203.65	Professional		$56.07	$99.82	$203.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $99.74 / $137.74	Professional		$66.48	$99.74	$137.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $13,785.00 / $13,785.00	Facility		$6,950.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $56.99 / $96.89	Professional		$38.00	$56.99	$96.89