Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.57 / $403.83 / $737.88	Facility		$149.57	$403.83	$737.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $350.00 / $350.00	Professional		$50.20	$350.00	$350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.84 / $274.98 / $571.14	Facility		$121.84	$274.98	$571.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $96.09 / $176.44	Professional		$49.02	$96.09	$176.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $130.87 / $180.73	Professional		$87.25	$130.87	$180.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $13,785.00 / $13,785.00	Facility		$124.64	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $68.55 / $68.55	Facility		$68.55	$68.55	$68.55
United Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $74.78 / $104.87	Professional		$43.62	$74.78	$104.87