Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $147.00 / $147.00	Facility		$147.00	$147.00	$147.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $272.14 / $326.39	Professional		$112.50	$272.14	$326.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.63 / $484.76 / $1,159.44	Facility		$403.63	$484.76	$1,159.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.04 / $374.75 / $685.42	Professional		$303.04	$374.75	$685.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $42.42 / $42.42	Professional		$42.42	$42.42	$42.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,289.99 / $1,289.99 / $2,797.36	Facility		$1,289.99	$1,289.99	$2,797.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $262.02 / $460.62	Professional		$149.06	$262.02	$460.62
United Facility/Professional Professional Modifier Low / Median / High Price $215.22 / $307.41 / $564.71	Professional		$215.22	$307.41	$564.71