Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $107.15 / $501.19	Facility		$19.95	$107.15	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $19.95 / $83.18	Professional		$7.08	$19.95	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $186.21 / $380.19	Facility		$95.50	$186.21	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $128.82	Professional		$91.20	$102.33	$128.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $48.98	Professional		$33.88	$39.81	$48.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $10,471.29 / $25,703.96	Facility		$83.18	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $67.61	Professional		$50.12	$54.95	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $83.18 / $173.78	Facility		$39.81	$83.18	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $85.11	Professional		$33.88	$50.12	$85.11