Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $416.87	Facility		$85.11	$128.82	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $123.03	Professional		$48.98	$60.26	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $147.91 / $309.03	Facility		$66.07	$147.91	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $102.33	Professional		$41.69	$53.70	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $75.86	Professional		$26.92	$33.88	$75.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $10,471.29 / $25,118.86	Facility		$67.61	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $75.86	Professional		$58.88	$61.66	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $67.61 / $138.04	Facility		$31.62	$67.61	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $97.72	Professional		$26.30	$40.74	$97.72