Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $256.05 / $1,105.39	Facility		$102.42	$256.05	$1,105.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $150.74 / $183.59	Professional		$102.42	$150.74	$183.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $425.83 / $885.54	Facility		$188.90	$425.83	$885.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.49 / $200.31 / $414.32	Professional		$112.49	$200.31	$414.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $202.91 / $280.20	Professional		$135.28	$202.91	$280.20
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 Professional Modifier Low / Median / High Price $74.81 / $115.95 / $197.48	Professional		$74.81	$115.95	$197.48