Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $197.63 / $294.02	Facility		$51.80	$197.63	$294.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $200.95	Professional		$32.50	$39.31	$200.95
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 / $142.99	Professional		$27.82	$50.31	$142.99
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 $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $25.99 / $47.00	Facility		$25.99	$25.99	$47.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $28.35 / $48.20	Professional		$18.89	$28.35	$48.20