Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $389.16 / $1,510.70	Facility		$175.00	$389.16	$1,510.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $386.20	Professional		$175.00	$175.00	$386.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $605.54 / $1,259.36	Facility		$268.64	$605.54	$1,259.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $285.00 / $589.16	Professional		$162.06	$285.00	$589.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $288.57 / $398.50	Professional		$192.38	$288.57	$398.50
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 $151.16 / $151.16 / $275.00	Facility		$151.16	$151.16	$275.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $164.90 / $280.33	Professional		$114.05	$164.90	$280.33