Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $97.70 / $288.86	Facility		$39.08	$97.70	$288.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $39.08 / $60.40	Professional		$25.44	$39.08	$60.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.37 / $111.15 / $231.41	Facility		$49.37	$111.15	$231.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $45.16 / $78.98	Professional		$29.48	$45.16	$78.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $27.78 / $40.40	Professional		$20.20	$27.78	$40.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $8,702.00 / $13,785.00	Facility		$35.35	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $35.35 / $46.41	Professional		$35.35	$35.35	$46.41
United Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $56.00	Facility		$27.78	$27.78	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $29.50 / $57.23	Professional		$21.21	$29.50	$57.23