Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.74 / $374.92 / $1,743.51	Facility		$103.74	$374.92	$1,743.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $103.74 / $259.08	Professional		$103.74	$103.74	$259.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.95 / $671.94 / $1,396.75	Facility		$297.95	$671.94	$1,396.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.31 / $315.93 / $653.78	Professional		$178.31	$315.93	$653.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.37 / $320.05 / $441.97	Professional		$213.37	$320.05	$441.97
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 $118.01 / $182.89 / $310.91	Professional		$118.01	$182.89	$310.91