Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $407.13 / $1,701.34	Facility		$85.00	$407.13	$1,701.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $100.46 / $281.35	Professional		$85.00	$100.46	$281.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.55 / $729.68 / $1,516.76	Facility		$323.55	$729.68	$1,516.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $273.82 / $480.00	Professional		$108.82	$273.82	$480.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $347.55 / $479.95	Professional		$231.70	$347.55	$479.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.70 / $13,785.00 / $13,785.00	Facility		$231.70	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $231.70 / $231.70	Professional		$231.70	$231.70	$231.70
United Facility/Professional Facility Modifier Low / Median / High Price $182.05 / $182.05 / $182.05	Facility		$182.05	$182.05	$182.05
United Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $184.61 / $221.53	Professional		$101.54	$184.61	$221.53