Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $155.43 / $459.72	Facility		$62.17	$155.43	$459.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $62.69 / $96.11	Professional		$59.64	$62.69	$96.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $160.74 / $368.28	Facility		$72.48	$160.74	$368.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $60.91 / $125.75	Professional		$42.60	$60.91	$125.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $47.42 / $80.37	Professional		$36.97	$47.42	$80.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $8,702.00 / $13,785.00	Facility		$56.26	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $56.26 / $73.84	Professional		$56.26	$56.26	$73.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $48.22 / $91.10	Professional		$31.50	$48.22	$91.10