Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $362.85 / $1,383.67	Facility		$174.64	$362.85	$1,383.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $205.62 / $280.08	Professional		$174.64	$205.62	$280.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.46 / $533.37 / $1,108.47	Facility		$236.46	$533.37	$1,108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $282.06 / $676.26	Professional		$159.97	$282.06	$676.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $254.00 / $350.76	Professional		$169.33	$254.00	$350.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $13,785.00 / $13,785.00	Facility		$241.90	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $133.05 / $133.05 / $133.05	Facility		$133.05	$133.05	$133.05
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $145.13 / $330.01	Professional		$101.60	$145.13	$330.01