Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.72 / $399.30 / $1,723.72	Facility		$159.72	$399.30	$1,723.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $235.05 / $286.27	Professional		$159.72	$235.05	$286.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.57 / $664.00 / $1,380.89	Facility		$294.57	$664.00	$1,380.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.46 / $350.15 / $646.04	Professional		$179.46	$350.15	$646.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $316.42 / $436.96	Professional		$210.95	$316.42	$436.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $180.81 / $307.38	Professional		$116.67	$180.81	$307.38