Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.62 / $315.62 / $15,764.00	Facility		$315.62	$315.62	$15,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $242.01 / $328.46	Professional		$182.66	$242.01	$328.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $108.77 / $130.63	Facility		$108.77	$108.77	$130.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $334.30 / $766.37	Professional		$191.96	$334.30	$766.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $278.85 / $571.26	Professional		$208.49	$278.85	$571.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $177.87 / $322.26	Professional		$67.39	$177.87	$322.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,885.00 / $30,796.00	Facility		$1,529.00	$3,885.00	$30,796.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $282.99 / $483.61	Professional		$172.70	$282.99	$483.61