Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $27.62 / $140.40	Facility		$27.62	$27.62	$140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $38.18 / $70.44	Professional		$26.94	$38.18	$70.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.96 / $106.41 / $305.22	Facility		$100.96	$106.41	$305.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $78.80 / $168.65	Professional		$42.64	$78.80	$168.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $68,899.31	Professional		$55,249.45	$55,249.45	$68,899.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.45 / $178.45 / $408.26	Facility		$178.45	$178.45	$408.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $134.90 / $278.67	Professional		$72.84	$134.90	$278.67
United Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $119.72 / $119.72	Facility		$119.72	$119.72	$119.72