Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.67 / $180.40 / $772.70	Facility		$79.67	$180.40	$772.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $123.27 / $170.89	Professional		$79.67	$123.27	$170.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $331.28 / $688.86	Facility		$146.94	$331.28	$688.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $156.03 / $322.32	Professional		$87.52	$156.03	$322.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $157.85 / $217.98	Professional		$105.23	$157.85	$217.98
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 Facility Modifier Low / Median / High Price $82.68 / $82.68 / $82.68	Facility		$82.68	$82.68	$82.68
United Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $90.20 / $153.34	Professional		$60.13	$90.20	$153.34