Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $184.91 / $838.87	Facility		$100.00	$184.91	$838.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $142.81	Professional		$100.00	$100.00	$142.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $331.28 / $688.86	Facility		$146.94	$331.28	$688.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $156.03 / $322.32	Professional		$84.38	$156.03	$322.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $157.85 / $217.98	Professional		$105.23	$157.85	$217.98
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 $82.68 / $82.68 / $82.68	Facility		$82.68	$82.68	$82.68
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $153.34	Professional		$63.14	$90.20	$153.34