Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.34 / $158.90 / $629.26	Facility		$121.34	$158.90	$629.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $158.90 / $284.45	Professional		$78.87	$158.90	$284.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.85 / $223.02 / $463.37	Facility		$98.85	$223.02	$463.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $107.85 / $216.99	Professional		$59.68	$107.85	$216.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $106.18 / $146.62	Professional		$70.78	$106.18	$146.62
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 Facility Modifier Low / Median / High Price $55.62 / $55.62 / $55.62	Facility		$55.62	$55.62	$55.62
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $60.67 / $103.14	Professional		$39.15	$60.67	$103.14