Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $232.40 / $1,003.29	Facility		$92.96	$232.40	$1,003.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $136.81 / $166.63	Professional		$92.96	$136.81	$166.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.45 / $386.85 / $803.74	Facility		$171.45	$386.85	$803.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $182.04 / $376.40	Professional		$102.14	$182.04	$376.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $184.17 / $254.33	Professional		$122.78	$184.17	$254.33
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 $82.44 / $175.40 / $360.02	Facility		$82.44	$175.40	$360.02
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $179.25	Professional		$73.67	$105.24	$179.25