Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $386.05 / $1,666.58	Facility		$154.41	$386.05	$1,666.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $227.26 / $276.79	Professional		$154.41	$227.26	$276.79
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 $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $174.82 / $297.19	Professional		$116.54	$174.82	$297.19