Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $450.00 / $1,333.16	Facility		$279.68	$450.00	$1,333.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $233.07 / $450.00	Professional		$176.99	$233.07	$450.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.02 / $513.88 / $1,068.01	Facility		$268.02	$513.88	$1,068.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.15 / $270.98 / $533.52	Professional		$142.15	$270.98	$533.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $244.72 / $337.95	Professional		$163.15	$244.72	$337.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.15 / $6,950.00 / $13,785.00	Facility		$163.15	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $163.15 / $163.15	Professional		$163.15	$163.15	$163.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $139.84 / $293.38	Professional		$97.89	$139.84	$293.38