Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $134.94 / $654.54	Facility		$50.51	$134.94	$654.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $57.18 / $81.01	Professional		$50.51	$57.18	$81.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $189.10 / $393.03	Facility		$83.84	$189.10	$393.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $94.11 / $164.68	Professional		$55.75	$94.11	$164.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $50.60 / $68.66	Professional		$39.45	$50.60	$68.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $72.90 / $77.19	Professional		$72.90	$72.90	$77.19
United Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $51.49 / $97.68	Professional		$40.04	$51.49	$97.68