Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $104.13 / $363.98	Facility		$70.19	$104.13	$363.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $83.30 / $104.13	Professional		$29.25	$83.30	$104.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $129.19 / $268.02	Facility		$57.17	$129.19	$268.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $60.80 / $125.70	Professional		$34.40	$60.80	$125.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $61.41 / $84.81	Professional		$40.94	$61.41	$84.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $13,785.00 / $13,785.00	Facility		$6,950.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $32.17 / $58.00	Facility		$32.17	$32.17	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $35.09 / $59.66	Professional		$22.65	$35.09	$59.66