Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $207.56 / $965.25	Facility		$58.46	$207.56	$965.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $143.44	Professional		$58.46	$58.46	$143.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.95 / $371.70 / $773.27	Facility		$164.95	$371.70	$773.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $175.01 / $361.65	Professional		$94.70	$175.01	$361.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $177.19 / $244.69	Professional		$118.13	$177.19	$244.69
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 $70.88 / $101.25 / $172.97	Professional		$70.88	$101.25	$172.97