Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $389.05	Facility		$83.18	$85.11	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $77.62	Professional		$34.67	$51.29	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $141.25 / $151.36	Facility		$63.10	$141.25	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $97.72	Professional		$70.79	$77.62	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $38.02	Professional		$25.70	$30.20	$38.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $9,772.37 / $25,703.96	Facility		$64.57	$9,772.37	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $51.29	Professional		$38.90	$41.69	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $131.83	Facility		$30.20	$64.57	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $69.18	Professional		$25.70	$38.90	$69.18