Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $155.19 / $664.76	Facility		$60.71	$155.19	$664.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $70.27 / $103.46	Professional		$58.27	$70.27	$103.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $285.08 / $592.64	Facility		$107.12	$285.08	$592.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $66.79 / $159.13	Professional		$50.95	$66.79	$159.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $76.30 / $88.64	Professional		$59.49	$76.30	$88.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $6,950.00 / $13,785.00	Facility		$90.53	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $90.53 / $90.53	Professional		$71.23	$90.53	$90.53
United Facility/Professional Facility Modifier Low / Median / High Price $71.13 / $71.13 / $71.13	Facility		$71.13	$71.13	$71.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $77.59 / $117.41	Professional		$45.27	$77.59	$117.41