Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $31.18 / $226.28	Facility		$31.18	$31.18	$226.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $35.81 / $45.20	Professional		$27.99	$35.81	$45.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $89.65 / $137.76	Facility		$73.16	$89.65	$137.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $45.38 / $74.31	Professional		$29.38	$45.38	$74.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $52.21 / $71.26	Professional		$43.21	$52.21	$71.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.75 / $214.08 / $7,628.00	Facility		$172.75	$214.08	$7,628.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $35.24 / $56.04	Professional		$29.95	$35.24	$56.04
United Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $119.72 / $119.72	Facility		$119.72	$119.72	$119.72
United Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $38.75 / $66.93	Professional		$28.13	$38.75	$66.93