Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $339.46 / $1,618.07	Facility		$99.65	$339.46	$1,618.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $112.28 / $298.98	Professional		$90.00	$112.28	$298.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $623.58 / $1,296.26	Facility		$276.51	$623.58	$1,296.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $302.20 / $689.01	Professional		$166.94	$302.20	$689.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $297.02 / $410.18	Professional		$198.02	$297.02	$410.18
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 $109.52 / $169.73 / $288.54	Professional		$109.52	$169.73	$288.54