Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $137.79 / $640.75	Facility		$59.37	$137.79	$640.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $67.20 / $95.22	Professional		$59.37	$67.20	$95.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.50 / $165.43 / $353.19	Facility		$109.50	$165.43	$353.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $122.91 / $160.55	Professional		$59.37	$122.91	$160.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $56.01 / $67.20	Professional		$44.81	$56.01	$67.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $16.14 / $8,702.00	Facility		$16.14	$16.14	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $100.82 / $100.82	Professional		$100.82	$100.82	$100.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $67.20 / $114.82	Professional		$44.81	$67.20	$114.82