Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $69.18 / $316.23	Facility		$67.61	$69.18	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $63.10	Professional		$28.18	$41.69	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $117.49 / $125.89	Facility		$51.29	$117.49	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $81.28	Professional		$57.54	$64.57	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $30.90	Professional		$20.89	$24.55	$30.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $10,471.29 / $25,703.96	Facility		$52.48	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.88 / $42.66	Professional		$31.62	$33.88	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $52.48 / $107.15	Facility		$24.55	$52.48	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $53.70	Professional		$20.89	$31.62	$53.70