Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $99.90 / $295.38	Facility		$39.96	$99.90	$295.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $42.50 / $59.39	Professional		$27.37	$42.50	$59.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $114.03 / $236.63	Facility		$50.48	$114.03	$236.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $39.29 / $80.56	Professional		$27.37	$39.29	$80.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $30.47 / $51.64	Professional		$23.75	$30.47	$51.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $8,702.00 / $13,785.00	Facility		$36.15	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $36.15 / $49.58	Professional		$36.15	$36.15	$49.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $30.98 / $72.16	Professional		$20.66	$30.98	$72.16