Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $408.10 / $1,583.12	Facility		$163.24	$408.10	$1,583.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $240.24 / $292.60	Professional		$163.24	$240.24	$292.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.07 / $679.16 / $1,411.36	Facility		$301.07	$679.16	$1,411.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.30 / $319.44 / $660.80	Professional		$179.30	$319.44	$660.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $323.39 / $446.60	Professional		$215.60	$323.39	$446.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $6,950.00 / $8,702.00	Facility		$6,950.00	$6,950.00	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $314.16	Professional		$129.36	$184.80	$314.16