Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $316.23	Facility		$64.57	$97.72	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $91.20	Professional		$26.92	$41.69	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $112.20 / $229.09	Facility		$48.98	$112.20	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $77.62	Professional		$31.62	$44.67	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $57.54	Professional		$20.42	$25.12	$57.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $10,715.19 / $25,703.96	Facility		$50.12	$10,715.19	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $56.23	Professional		$44.67	$46.77	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $50.12 / $104.71	Facility		$23.99	$50.12	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $74.13	Professional		$20.42	$30.20	$74.13