Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $129.00 / $381.52	Facility		$51.60	$129.00	$381.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $52.03 / $79.80	Professional		$49.52	$52.03	$79.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $147.22 / $305.64	Facility		$65.20	$147.22	$305.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $54.92 / $104.14	Professional		$43.27	$54.92	$104.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $39.35 / $66.70	Professional		$30.68	$39.35	$66.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $8,702.00 / $13,785.00	Facility		$46.69	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $46.69 / $61.31	Professional		$46.69	$46.69	$61.31
United Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $74.00	Facility		$36.69	$36.69	$74.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $40.02 / $75.59	Professional		$25.82	$40.02	$75.59