Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $129.69 / $645.96	Facility		$102.26	$129.69	$645.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $117.60 / $129.69	Professional		$51.25	$117.60	$129.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $225.18 / $468.59	Facility		$99.96	$225.18	$468.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $109.30 / $225.77	Professional		$60.32	$109.30	$225.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $107.37 / $148.28	Professional		$71.58	$107.37	$148.28
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 $56.24 / $56.24 / $56.24	Facility		$56.24	$56.24	$56.24
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $104.31	Professional		$42.95	$61.36	$104.31