Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $364.15 / $1,572.03	Facility		$145.66	$364.15	$1,572.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $214.37 / $261.08	Professional		$145.66	$214.37	$261.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $605.54 / $1,259.36	Facility		$268.64	$605.54	$1,259.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $284.41 / $580.26	Professional		$154.93	$284.41	$580.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $288.57 / $398.50	Professional		$192.38	$288.57	$398.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $13,785.00 / $13,785.00	Facility		$274.83	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $280.33	Professional		$115.43	$164.90	$280.33