Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.14 / $865.81 / $1,611.84	Facility		$222.14	$865.81	$1,611.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $1,048.23 / $1,048.23	Professional		$144.38	$1,048.23	$1,048.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.96 / $407.78 / $848.28	Facility		$180.96	$407.78	$848.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $197.61 / $561.04	Professional		$109.17	$197.61	$561.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $194.38 / $268.42	Professional		$129.58	$194.38	$268.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $13,785.00 / $13,785.00	Facility		$185.12	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $101.82 / $101.82	Facility		$101.82	$101.82	$101.82
United Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $111.07 / $188.82	Professional		$74.05	$111.07	$188.82