Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $139.55 / $1,265.64	Facility		$32.29	$139.55	$1,265.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $49.94 / $257.23	Professional		$32.29	$49.94	$257.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.81 / $666.89 / $1,386.71	Facility		$295.81	$666.89	$1,386.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $85.38 / $384.77	Professional		$33.60	$85.38	$384.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $317.75 / $438.80	Professional		$211.83	$317.75	$438.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.83 / $8,702.00 / $13,785.00	Facility		$211.83	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $211.83 / $211.83	Professional		$211.83	$211.83	$211.83
United Facility/Professional Facility Modifier Low / Median / High Price $166.44 / $166.44 / $166.44	Facility		$166.44	$166.44	$166.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $141.08 / $302.62	Professional		$35.25	$141.08	$302.62