Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $85.35 / $368.43	Facility		$34.14	$85.35	$368.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $42.27 / $54.75	Professional		$34.14	$42.27	$54.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $95.29 / $202.74	Facility		$62.96	$95.29	$202.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $73.93 / $92.41	Professional		$70.67	$73.93	$92.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $32.21 / $38.65	Professional		$25.76	$32.21	$38.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $51.53 / $51.53	Professional		$51.53	$51.53	$51.53
United Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $38.65 / $66.02	Professional		$24.94	$38.65	$66.02