Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $361.62 / $1,409.41	Facility		$29.00	$361.62	$1,409.41
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 $294.57 / $664.00 / $1,380.89	Facility		$294.57	$664.00	$1,380.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $312.42 / $646.04	Professional		$177.78	$312.42	$646.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $316.42 / $436.96	Professional		$210.95	$316.42	$436.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $13,785.00 / $13,785.00	Facility		$301.35	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $307.38	Professional		$126.57	$180.81	$307.38