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 / $118.45 / $295.00	Facility		$65.00	$118.45	$295.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $182.00 / $323.00	Facility		$162.00	$182.00	$323.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60.00 / $153.00	Facility		$55.00	$60.00	$153.00