Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $247.85 / $1,152.58	Facility		$161.00	$247.85	$1,152.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $161.00 / $191.43	Professional		$149.59	$161.00	$191.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.97 / $443.87 / $923.34	Facility		$196.97	$443.87	$923.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $234.83 / $500.25	Professional		$133.13	$234.83	$500.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $211.58 / $292.18	Professional		$141.05	$211.58	$292.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $8,702.00 / $13,785.00	Facility		$141.05	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $141.05 / $141.05	Professional		$141.05	$141.05	$141.05
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $120.90 / $274.89	Professional		$84.63	$120.90	$274.89