Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $137.00 / $811.04	Facility		$65.00	$137.00	$811.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $65.00 / $326.58	Professional		$45.00	$65.00	$326.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.55 / $301.69 / $627.78	Facility		$157.55	$301.69	$627.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $141.97 / $293.52	Professional		$76.90	$141.97	$293.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $143.85 / $198.65	Professional		$95.90	$143.85	$198.65
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 Professional Modifier Low / Median / High Price $57.54 / $82.20 / $139.74	Professional		$57.54	$82.20	$139.74