Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.78 / $630.08 / $1,100.07	Facility		$230.78	$630.08	$1,100.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $323.12 / $323.12	Professional		$96.46	$323.12	$323.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.99 / $423.66 / $881.28	Facility		$187.99	$423.66	$881.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $205.57 / $346.31	Professional		$108.06	$205.57	$346.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $201.94 / $278.86	Professional		$134.62	$201.94	$278.86
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 $80.77 / $115.39 / $196.17	Professional		$80.77	$115.39	$196.17