Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $369.60 / $1,440.52	Facility		$66.48	$369.60	$1,440.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $87.75 / $261.80	Professional		$66.48	$87.75	$261.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.07 / $679.16 / $1,411.36	Facility		$301.07	$679.16	$1,411.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $239.26 / $447.00	Professional		$95.09	$239.26	$447.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $323.39 / $446.60	Professional		$215.60	$323.39	$446.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $13,785.00 / $13,785.00	Facility		$215.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $215.60 / $215.60	Professional		$215.60	$215.60	$215.60
United Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $166.32 / $256.26	Professional		$88.68	$166.32	$256.26