Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $151.40 / $447.65	Facility		$60.56	$151.40	$447.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $61.04 / $93.62	Professional		$58.10	$61.04	$93.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $172.50 / $358.61	Facility		$76.50	$172.50	$358.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $70.61 / $122.21	Professional		$48.60	$70.61	$122.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $46.17 / $78.26	Professional		$36.00	$46.17	$78.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.78 / $8,702.00 / $13,785.00	Facility		$54.78	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $54.78 / $71.92	Professional		$54.78	$54.78	$71.92
United Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $53.70 / $55.82	Facility		$27.39	$53.70	$55.82
United Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $46.96 / $109.34	Professional		$30.45	$46.96	$109.34