Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $199.23 / $875.31	Facility		$79.69	$199.23	$875.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $80.34 / $123.21	Professional		$76.48	$80.34	$123.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $227.35 / $471.98	Facility		$100.68	$227.35	$471.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $83.75 / $161.12	Professional		$59.10	$83.75	$161.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $56.65 / $82.40	Professional		$41.20	$56.65	$82.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $8,702.00 / $13,785.00	Facility		$72.09	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $72.09 / $94.68	Professional		$72.09	$72.09	$94.68
United Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $56.65 / $56.65	Facility		$56.65	$56.65	$56.65
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $61.80 / $143.85	Professional		$43.26	$61.80	$143.85