Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $115.80 / $420.91	Facility		$39.59	$115.80	$420.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $48.17 / $83.24	Professional		$37.79	$48.17	$83.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $182.49 / $257.45	Facility		$133.41	$182.49	$257.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $59.42 / $104.52	Professional		$33.22	$59.42	$104.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $70.30 / $103.72	Professional		$52.86	$70.30	$103.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $214.08 / $214.08	Facility		$214.08	$214.08	$214.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $53.57 / $88.27	Professional		$43.81	$53.57	$88.27
United Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $53.52 / $93.73	Professional		$26.82	$53.52	$93.73