Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $230.40 / $986.88	Facility		$44.35	$230.40	$986.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $71.12 / $163.19	Professional		$44.35	$71.12	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.68 / $422.94 / $879.81	Facility		$187.68	$422.94	$879.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $113.38 / $253.29	Professional		$47.31	$113.38	$253.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $201.60 / $278.39	Professional		$134.40	$201.60	$278.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $13,785.00 / $13,785.00	Facility		$192.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $92.16 / $125.51	Professional		$41.84	$92.16	$125.51