Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.71 / $358.37 / $1,666.58	Facility		$133.71	$358.37	$1,666.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $158.79 / $252.73	Professional		$133.72	$158.79	$252.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.80 / $642.35 / $1,335.11	Facility		$284.80	$642.35	$1,335.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.83 / $303.42 / $598.03	Professional		$171.83	$303.42	$598.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $305.93 / $422.47	Professional		$203.95	$305.93	$422.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.95 / $13,785.00 / $13,785.00	Facility		$203.95	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $203.95 / $203.95	Professional		$203.95	$203.95	$203.95
United Facility/Professional Facility Modifier Low / Median / High Price $160.25 / $160.25 / $160.25	Facility		$160.25	$160.25	$160.25
United Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $174.82 / $291.80	Professional		$116.54	$174.82	$291.80