Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $85.13 / $251.62	Facility		$34.04	$85.13	$251.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $34.04 / $52.35	Professional		$23.32	$34.04	$52.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $96.71 / $201.58	Facility		$43.00	$96.71	$201.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $42.20 / $68.77	Professional		$28.57	$42.20	$68.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $24.19 / $35.19	Professional		$17.60	$24.19	$35.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $6,950.00 / $13,785.00	Facility		$30.79	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $42.24	Professional		$30.79	$30.79	$42.24
United Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $30.18 / $31.37	Facility		$15.40	$30.18	$31.37
United Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $26.39 / $61.46	Professional		$17.60	$26.39	$61.46