Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $137.66 / $558.11	Facility		$83.30	$137.66	$558.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $83.30 / $92.36	Professional		$75.83	$83.30	$92.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.03 / $214.36 / $445.50	Facility		$95.03	$214.36	$445.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $100.86 / $208.56	Professional		$57.35	$100.86	$208.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $102.08 / $140.97	Professional		$68.05	$102.08	$140.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $58.33 / $116.66	Professional		$40.35	$58.33	$116.66