Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.17 / $87.11 / $382.83	Facility		$61.17	$87.11	$382.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $61.17 / $83.30	Professional		$47.99	$61.17	$83.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $135.69 / $281.91	Facility		$60.14	$135.69	$281.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $63.96 / $132.02	Professional		$36.32	$63.96	$132.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $64.59 / $89.20	Professional		$43.06	$64.59	$89.20
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 Professional Modifier Low / Median / High Price $25.84 / $36.90 / $62.75	Professional		$25.84	$36.90	$62.75