Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $97.50 / $288.35	Facility		$39.00	$97.50	$288.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $39.32 / $60.28	Professional		$37.43	$39.32	$60.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $111.15 / $231.00	Facility		$49.27	$111.15	$231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $39.84 / $78.59	Professional		$32.84	$39.84	$78.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $27.73 / $40.33	Professional		$20.16	$27.73	$40.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $8,702.00 / $13,785.00	Facility		$35.29	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $48.41	Professional		$35.29	$35.29	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $30.25 / $70.41	Professional		$19.52	$30.25	$70.41