Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $80.39 / $373.86	Facility		$65.36	$80.39	$373.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $66.48 / $69.91	Professional		$48.53	$66.48	$69.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $144.35 / $299.50	Facility		$67.01	$144.35	$299.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $76.12 / $162.40	Professional		$43.16	$76.12	$162.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $68.63 / $94.77	Professional		$45.75	$68.63	$94.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $8,702.00 / $13,785.00	Facility		$45.75	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $45.75 / $45.75	Professional		$45.75	$45.75	$45.75
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $39.22 / $89.17	Professional		$27.45	$39.22	$89.17