Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $55.98 / $250.94	Facility		$12.96	$55.98	$250.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $15.00 / $48.00	Professional		$12.44	$15.00	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $132.08 / $274.94	Facility		$41.93	$132.08	$274.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $13.78 / $68.97	Professional		$10.94	$13.78	$68.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $30.00 / $36.00	Professional		$18.92	$30.00	$36.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $13,785.00 / $13,785.00	Facility		$42.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $42.00 / $42.00	Professional		$18.73	$42.00	$42.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $30.00 / $39.00	Professional		$17.85	$30.00	$39.00