Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $270.98 / $772.24	Facility		$96.00	$270.98	$772.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $115.26 / $153.97	Professional		$96.00	$115.26	$153.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $283.64 / $589.89	Facility		$126.20	$283.64	$589.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $159.76 / $359.70	Professional		$93.67	$159.76	$359.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $135.16 / $186.66	Professional		$90.11	$135.16	$186.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $6,950.00 / $13,785.00	Facility		$90.11	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $90.11 / $90.11	Professional		$90.11	$90.11	$90.11
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $77.23 / $185.67	Professional		$54.07	$77.23	$185.67