Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $125.89 / $263.03	Facility		$53.70	$125.89	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $93.33 / $93.33	Facility		$41.69	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $60.26	Professional		$42.66	$42.66	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $42.66	Professional		$16.98	$21.38	$42.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $11,481.54 / $27,542.29	Facility		$125.89	$11,481.54	$27,542.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $42.66 / $87.10	Facility		$19.95	$42.66	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $43.65	Professional		$16.98	$25.12	$43.65