Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $97.99 / $241.84	Facility		$50.25	$97.99	$241.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $49.66 / $50.33	Professional		$42.28	$49.66	$50.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $53.48 / $123.09	Facility		$29.04	$53.48	$123.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $60.71	Professional		$42.28	$42.28	$60.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $23.25 / $33.82	Professional		$16.91	$23.25	$33.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $29.49 / $8,702.00	Facility		$29.49	$29.49	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Facility		$23.17	$23.17	$23.17
United Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $25.37 / $45.66	Professional		$16.37	$25.37	$45.66