Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $82.33 / $355.44	Facility		$32.93	$82.33	$355.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $40.78 / $52.82	Professional		$32.93	$40.78	$52.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $137.13 / $284.75	Facility		$60.74	$137.13	$284.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $71.45 / $89.31	Professional		$68.18	$71.45	$89.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $31.07 / $37.28	Professional		$24.86	$31.07	$37.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $4,207.00 / $8,702.00	Facility		$4,207.00	$4,207.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $49.71 / $49.71	Professional		$49.71	$49.71	$49.71
United Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $36.31 / $63.69	Professional		$24.06	$36.31	$63.69