Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $419.64 / $1,450.12	Facility		$187.56	$419.64	$1,450.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.56 / $218.83 / $300.80	Professional		$187.56	$218.83	$300.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.39 / $567.29 / $1,179.73	Facility		$252.39	$567.29	$1,179.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.55 / $319.51 / $719.39	Professional		$187.55	$319.51	$719.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $270.32 / $373.30	Professional		$180.22	$270.32	$373.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $8,702.00 / $13,785.00	Facility		$180.22	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $180.22 / $180.22	Professional		$180.22	$180.22	$180.22
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $154.47 / $362.73	Professional		$108.13	$154.47	$362.73