Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.93 / $676.50 / $3,163.99	Facility		$149.93	$676.50	$3,163.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $240.45 / $575.03	Professional		$149.93	$240.45	$575.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.28 / $1,491.11 / $3,099.96	Facility		$661.28	$1,491.11	$3,099.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $786.15 / $1,450.81	Professional		$403.00	$786.15	$1,450.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.55 / $710.33 / $980.93	Professional		$473.55	$710.33	$980.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.55 / $473.55 / $8,702.00	Facility		$473.55	$473.55	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $169.73 / $424.32	Professional		$119.38	$169.73	$424.32