Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $245.40 / $1,059.33	Facility		$98.16	$245.40	$1,059.33
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 $3,243.00 / $13,785.00 / $13,785.00	Facility		$3,243.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $87.04 / $185.20 / $380.14	Facility		$87.04	$185.20	$380.14
United Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $111.12 / $188.90	Professional		$74.08	$111.12	$188.90