Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $44.88 / $193.68	Facility		$17.95	$44.88	$193.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $26.41 / $28.78	Professional		$17.95	$26.41	$28.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.10 / $74.34 / $155.16	Facility		$33.10	$74.34	$155.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $27.09 / $27.09	Professional		$27.09	$27.09	$27.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $44.36 / $61.69	Professional		$35.54	$44.36	$61.69
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
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $34.54	Professional		$14.22	$20.32	$34.54