Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.03 / $399.23 / $1,856.60	Facility		$172.03	$399.23	$1,856.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $243.44 / $275.89	Professional		$172.03	$243.44	$275.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.27 / $715.24 / $1,487.34	Facility		$317.27	$715.24	$1,487.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $324.04 / $659.44	Professional		$182.33	$324.04	$659.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $340.81 / $470.64	Professional		$227.21	$340.81	$470.64
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 $178.52 / $178.52 / $178.52	Facility		$178.52	$178.52	$178.52
United Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $194.75 / $331.07	Professional		$129.83	$194.75	$331.07