Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.20 / $602.96 / $1,627.48	Facility		$309.20	$602.96	$1,627.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $284.26 / $372.40	Professional		$203.99	$284.26	$372.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $62.09 / $238.20	Facility		$62.09	$62.09	$238.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $317.49	Professional		$254.00	$254.00	$317.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $141.68 / $181.72	Professional		$141.68	$141.68	$181.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.82 / $320.00 / $13,785.00	Facility		$104.82	$320.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $320.00 / $320.00	Professional		$272.00	$320.00	$320.00
United Facility/Professional Facility Modifier Low / Median / High Price $27.21 / $27.21 / $51.00	Facility		$27.21	$27.21	$51.00