Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $461.56 / $1,928.78	Facility		$49.42	$461.56	$1,928.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $79.25 / $318.95	Professional		$49.42	$79.25	$318.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.81 / $827.11 / $1,719.53	Facility		$366.81	$827.11	$1,719.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $223.54 / $544.00	Professional		$54.94	$223.54	$544.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $394.01 / $544.11	Professional		$262.68	$394.01	$544.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $13,785.00 / $13,785.00	Facility		$262.68	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $262.68 / $262.68	Professional		$262.68	$262.68	$262.68
United Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $206.39 / $206.39	Facility		$206.39	$206.39	$206.39
United Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $186.61 / $234.25	Professional		$51.28	$186.61	$234.25