Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $288.40	Facility		$58.88	$89.13	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $83.18	Professional		$33.88	$40.74	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $102.33 / $208.93	Facility		$44.67	$102.33	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $70.79	Professional		$29.51	$46.77	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $52.48	Professional		$18.62	$22.91	$52.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $10,471.29 / $25,118.86	Facility		$45.71	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $42.66 / $51.29	Professional		$40.74	$42.66	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $45.71 / $95.50	Facility		$21.88	$45.71	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $67.61	Professional		$18.62	$27.54	$67.61