Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.09 / $268.92 / $491.36	Facility		$102.09	$268.92	$491.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $107.85 / $107.85	Professional		$49.80	$107.85	$107.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $182.60 / $380.34	Facility		$81.13	$182.60	$380.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $88.67 / $170.34	Professional		$48.56	$88.67	$170.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $87.15 / $120.35	Professional		$58.10	$87.15	$120.35
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 $34.86 / $49.80 / $87.98	Professional		$34.86	$49.80	$87.98