Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.51 / $261.27 / $1,105.39	Facility		$104.51	$261.27	$1,105.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $150.74 / $183.59	Professional		$104.51	$150.74	$183.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $425.83 / $885.54	Facility		$188.90	$425.83	$885.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $198.89 / $414.32	Professional		$111.54	$198.89	$414.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $202.91 / $280.20	Professional		$135.28	$202.91	$280.20
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 $81.17 / $115.95 / $197.48	Professional		$81.17	$115.95	$197.48