Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $49.56 / $200.20	Facility		$28.86	$49.56	$200.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $28.86 / $34.28	Professional		$27.30	$28.86	$34.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $77.23 / $160.38	Facility		$34.21	$77.23	$160.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $36.20 / $75.14	Professional		$19.63	$36.20	$75.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $36.75 / $50.75	Professional		$24.50	$36.75	$50.75
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 Professional Modifier Low / Median / High Price $14.52 / $21.00 / $35.88	Professional		$14.52	$21.00	$35.88