Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.63 / $91.63 / $91.63	Facility		$91.63	$91.63	$91.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $85.56 / $113.19	Professional		$66.40	$85.56	$113.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $75.95 / $91.23	Facility		$75.95	$75.95	$91.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $89.69 / $166.29	Professional		$41.00	$89.69	$166.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $67.44 / $67.44	Professional		$67.44	$67.44	$67.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $95.43 / $206.91	Facility		$86.34	$95.43	$206.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $76.20 / $125.36	Professional		$58.40	$76.20	$125.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $6,648.00 / $10,536.00	Facility		$1,529.00	$6,648.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $81.15 / $135.43	Professional		$44.56	$81.15	$135.43