Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $85.11 / $275.42	Facility		$56.23	$85.11	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $79.43	Professional		$32.36	$38.90	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $199.53	Facility		$42.66	$97.72	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $69.18	Professional		$28.84	$47.86	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $50.12	Professional		$17.78	$21.88	$50.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $11,481.54 / $25,703.96	Facility		$43.65	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $48.98	Professional		$38.90	$40.74	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $43.65 / $91.20	Facility		$20.89	$43.65	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $64.57	Professional		$17.78	$26.30	$64.57