Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $89.13 / $263.52	Facility		$35.65	$89.13	$263.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $35.93 / $55.11	Professional		$34.20	$35.93	$55.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $101.77 / $211.11	Facility		$45.03	$101.77	$211.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $46.44 / $71.91	Professional		$29.48	$46.44	$71.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $25.34 / $36.86	Professional		$18.43	$25.34	$36.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $8,702.00 / $13,785.00	Facility		$32.25	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $32.25 / $42.34	Professional		$32.25	$32.25	$42.34
United Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $46.07 / $94.56	Facility		$21.65	$46.07	$94.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.64 / $52.21	Professional		$19.35	$27.64	$52.21