Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $191.41 / $866.18	Facility		$98.15	$191.41	$866.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $153.72 / $305.58	Professional		$98.16	$153.72	$305.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.03 / $408.50 / $848.65	Facility		$181.03	$408.50	$848.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $192.23 / $397.46	Professional		$107.82	$192.23	$397.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $194.46 / $268.54	Professional		$129.63	$194.46	$268.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $6,950.00 / $8,702.00	Facility		$6,950.00	$6,950.00	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $101.86 / $101.86 / $101.86	Facility		$101.86	$101.86	$101.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $111.12 / $185.20	Professional		$74.08	$111.12	$185.20