Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $204.17	Facility		$41.69	$63.10	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $104.71	Professional		$17.38	$30.20	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $72.44 / $147.91	Facility		$31.62	$72.44	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $54.95	Professional		$20.89	$39.81	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $37.15	Professional		$13.18	$16.22	$37.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $10,471.29 / $25,118.86	Facility		$32.36	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $36.31	Professional		$28.84	$30.20	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $32.36 / $67.61	Facility		$15.49	$32.36	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.50 / $47.86	Professional		$13.18	$19.50	$47.86