Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $180.67 / $817.59	Facility		$92.65	$180.67	$817.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $136.35 / $148.59	Professional		$92.65	$136.35	$148.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.88 / $385.41 / $801.04	Facility		$170.88	$385.41	$801.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $174.56 / $355.31	Professional		$98.14	$174.56	$355.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $183.55 / $253.47	Professional		$122.37	$183.55	$253.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $13,785.00 / $13,785.00	Facility		$174.81	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $178.31	Professional		$73.42	$104.89	$178.31