Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $130.00 / $384.44	Facility		$52.00	$130.00	$384.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $52.42 / $80.38	Professional		$49.90	$52.42	$80.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $147.96 / $307.98	Facility		$65.70	$147.96	$307.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $51.54 / $104.92	Professional		$35.61	$51.54	$104.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $36.97 / $53.77	Professional		$26.88	$36.97	$53.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $13,785.00 / $13,785.00	Facility		$47.05	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $64.54	Professional		$47.05	$47.05	$64.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $40.33 / $76.17	Professional		$23.52	$40.33	$76.17