Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $217.75 / $326.64	Facility		$26.53	$217.75	$326.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $41.16 / $217.76	Professional		$32.50	$41.16	$217.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.29 / $113.31 / $235.76	Facility		$50.29	$113.31	$235.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $55.01 / $155.90	Professional		$30.37	$55.01	$155.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $54.02 / $74.59	Professional		$36.02	$54.02	$74.59
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 $21.35 / $30.87 / $52.74	Professional		$21.35	$30.87	$52.74