Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.27 / $268.18 / $1,157.73	Facility		$107.27	$268.18	$1,157.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $157.87 / $192.28	Professional		$107.27	$157.87	$192.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.85 / $446.04 / $927.47	Facility		$197.85	$446.04	$927.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $202.09 / $410.87	Professional		$113.73	$202.09	$410.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $212.52 / $293.48	Professional		$141.68	$212.52	$293.48
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 Facility Modifier Low / Median / High Price $111.32 / $111.32 / $111.32	Facility		$111.32	$111.32	$111.32
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $206.45	Professional		$85.01	$121.44	$206.45