Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $203.00 / $632.00	Facility		$178.00	$203.00	$632.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $119.00 / $295.00	Facility		$65.00	$119.00	$295.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $182.00 / $208.00	Facility		$104.00	$182.00	$208.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00