Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.88 / $497.20 / $2,146.42	Facility		$198.88	$497.20	$2,146.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $292.70 / $356.49	Professional		$198.88	$292.70	$356.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.81 / $827.11 / $1,719.53	Facility		$366.81	$827.11	$1,719.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $374.56 / $761.80	Professional		$210.66	$374.56	$761.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $394.01 / $544.11	Professional		$262.68	$394.01	$544.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $13,785.00 / $13,785.00	Facility		$375.25	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $176.37 / $375.25 / $770.22	Facility		$176.37	$375.25	$770.22
United Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $225.15 / $382.76	Professional		$150.10	$225.15	$382.76