Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.01 / $335.03 / $1,077.61	Facility		$134.01	$335.03	$1,077.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $147.19 / $207.15	Professional		$128.57	$147.19	$207.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.77 / $381.80 / $793.53	Facility		$169.77	$381.80	$793.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $218.57 / $501.06	Professional		$126.16	$218.57	$501.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $181.83 / $315.52	Professional		$121.22	$181.83	$315.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.22 / $8,702.00 / $13,785.00	Facility		$121.22	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $121.22 / $121.22	Professional		$121.22	$121.22	$121.22
United Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $147.19 / $248.04	Professional		$76.90	$147.19	$248.04