Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $358.37 / $1,497.59	Facility		$154.41	$358.37	$1,497.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $230.17 / $291.36	Professional		$154.41	$230.17	$291.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.80 / $642.35 / $1,335.11	Facility		$284.80	$642.35	$1,335.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.07 / $301.18 / $614.49	Professional		$164.07	$301.18	$614.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $305.93 / $422.47	Professional		$203.95	$305.93	$422.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $13,785.00 / $13,785.00	Facility		$4,207.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $297.19	Professional		$122.37	$174.82	$297.19