Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $64.83 / $301.50	Facility		$27.94	$64.83	$301.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $34.59 / $44.80	Professional		$27.94	$34.59	$44.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $77.88 / $166.46	Facility		$51.53	$77.88	$166.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $60.71 / $75.89	Professional		$57.84	$60.71	$75.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $26.36 / $31.63	Professional		$21.08	$26.36	$31.63
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
United Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $31.63 / $54.03	Professional		$18.45	$31.63	$54.03