Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $436.60 / $1,884.80	Facility		$174.64	$436.60	$1,884.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $257.02 / $313.02	Professional		$174.64	$257.02	$313.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.10 / $726.07 / $1,509.93	Facility		$322.10	$726.07	$1,509.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.57 / $332.09 / $699.66	Professional		$186.57	$332.09	$699.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $345.99 / $477.79	Professional		$230.66	$345.99	$477.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $8,702.00 / $13,785.00	Facility		$329.51	$8,702.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $336.10	Professional		$138.38	$197.71	$336.10