Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $99.95 / $419.68	Facility		$39.97	$99.95	$419.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $57.23 / $69.70	Professional		$39.97	$57.23	$69.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.72 / $161.66 / $336.21	Facility		$71.72	$161.66	$336.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $73.17 / $153.53	Professional		$42.37	$73.17	$153.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $77.04 / $106.39	Professional		$51.36	$77.04	$106.39
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 $29.35 / $44.02 / $81.48	Professional		$29.35	$44.02	$81.48