Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $97.17 / $451.88	Facility		$41.87	$97.17	$451.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $62.41 / $67.15	Professional		$41.87	$62.41	$67.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $173.94 / $362.01	Facility		$77.22	$173.94	$362.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $63.20 / $63.20	Professional		$63.20	$63.20	$63.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $103.49 / $143.94	Professional		$82.95	$103.49	$143.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $8,702.00 / $13,785.00	Facility		$55.30	$8,702.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $47.40 / $80.58	Professional		$33.18	$47.40	$80.58