Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $153.59 / $641.83	Facility		$66.18	$153.59	$641.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $98.13 / $127.99	Professional		$66.18	$98.13	$127.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $274.98 / $572.20	Facility		$122.06	$274.98	$572.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $125.98 / $265.42	Professional		$70.59	$125.98	$265.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $131.11 / $181.06	Professional		$87.41	$131.11	$181.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $13,785.00 / $13,785.00	Facility		$124.87	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $74.92 / $127.99	Professional		$51.82	$74.92	$127.99