Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $124.89 / $504.50	Facility		$49.68	$124.89	$504.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $49.68 / $83.79	Professional		$49.68	$49.68	$83.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $194.15 / $404.16	Facility		$86.22	$194.15	$404.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $91.37 / $188.90	Professional		$49.58	$91.37	$188.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $92.61 / $127.89	Professional		$61.74	$92.61	$127.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $52.92 / $89.96	Professional		$35.28	$52.92	$89.96