Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $227.80 / $951.93	Facility		$98.15	$227.80	$951.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $144.46 / $175.94	Professional		$98.16	$144.46	$175.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.03 / $408.50 / $848.65	Facility		$181.03	$408.50	$848.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $191.59 / $390.90	Professional		$104.37	$191.59	$390.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $194.46 / $268.54	Professional		$129.63	$194.46	$268.54
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 Facility Modifier Low / Median / High Price $101.86 / $101.86 / $101.86	Facility		$101.86	$101.86	$101.86
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $188.90	Professional		$77.78	$111.12	$188.90