Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $541.20 / $2,261.60	Facility		$93.65	$541.20	$2,261.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $150.19 / $374.00	Professional		$93.65	$150.19	$374.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.10 / $970.02 / $2,016.23	Facility		$430.10	$970.02	$2,016.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $267.04 / $638.00	Professional		$104.18	$267.04	$638.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $462.00 / $638.00	Professional		$308.00	$462.00	$638.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $8,702.00 / $13,785.00	Facility		$308.00	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $308.00	Professional		$308.00	$308.00	$308.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $218.76 / $308.00	Professional		$97.19	$218.76	$308.00