Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $176.35 / $521.44	Facility		$70.54	$176.35	$521.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $71.09 / $109.06	Professional		$67.68	$71.09	$109.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $200.64 / $417.73	Facility		$89.11	$200.64	$417.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $77.18 / $142.65	Professional		$57.35	$77.18	$142.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $53.78 / $72.93	Professional		$41.93	$53.78	$72.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $91.16 / $13,785.00	Facility		$63.81	$91.16	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $63.81 / $83.78	Professional		$63.81	$63.81	$83.78
United Facility/Professional Facility Modifier Low / Median / High Price $50.14 / $50.14 / $101.00	Facility		$50.14	$50.14	$101.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $54.70 / $127.36	Professional		$36.46	$54.70	$127.36