Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $85.69 / $392.11	Facility		$31.56	$85.69	$392.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $50.62 / $59.65	Professional		$31.56	$50.62	$59.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $150.84 / $314.12	Facility		$67.01	$150.84	$314.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $66.77 / $122.09	Professional		$35.08	$66.77	$122.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $71.98 / $99.40	Professional		$47.99	$71.98	$99.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $68.55 / $13,785.00	Facility		$47.99	$68.55	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $47.99 / $47.99	Professional		$47.99	$47.99	$47.99
United Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $41.13 / $68.55	Professional		$26.80	$41.13	$68.55