Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $415.41 / $1,735.93	Facility		$66.48	$415.41	$1,735.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $70.48 / $287.07	Professional		$66.48	$70.48	$287.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.13 / $744.11 / $1,547.60	Facility		$330.13	$744.11	$1,547.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $205.04 / $490.00	Professional		$76.28	$205.04	$490.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $354.62 / $489.71	Professional		$236.41	$354.62	$489.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.41 / $13,785.00 / $13,785.00	Facility		$236.41	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $236.41 / $236.41	Professional		$236.41	$236.41	$236.41
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $180.87 / $236.41	Professional		$71.23	$180.87	$236.41