Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $180.00 / $746.75	Facility		$120.00	$180.00	$746.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $120.00 / $120.00	Professional		$94.80	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $264.16 / $549.88	Facility		$117.30	$264.16	$549.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $124.40 / $257.02	Professional		$70.20	$124.40	$257.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $126.00 / $174.00	Professional		$84.00	$126.00	$174.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,641.00 / $7,628.00 / $13,785.00	Facility		$1,641.00	$7,628.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $72.00 / $122.40	Professional		$48.00	$72.00	$122.40