Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $150.52 / $302.01	Facility		$51.80	$150.52	$302.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $150.52	Professional		$32.50	$39.31	$150.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $103.93 / $216.52	Facility		$46.19	$103.93	$216.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $50.31 / $101.12	Professional		$27.82	$50.31	$101.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $49.61 / $68.51	Professional		$33.08	$49.61	$68.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $13,785.00 / $13,785.00	Facility		$4,207.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $42.53 / $56.70	Facility		$25.99	$42.53	$56.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $48.43	Professional		$19.85	$28.35	$48.43