Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $78.41 / $335.85	Facility		$65.34	$78.41	$335.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $67.47 / $77.50	Professional		$35.93	$67.47	$77.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $144.35 / $299.41	Facility		$63.87	$144.35	$299.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $65.16 / $122.09	Professional		$35.08	$65.16	$122.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $68.61 / $94.74	Professional		$45.74	$68.61	$94.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $13,785.00 / $13,785.00	Facility		$45.74	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $45.74 / $45.74	Professional		$45.74	$45.74	$45.74
United Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $35.94 / $35.94	Facility		$35.94	$35.94	$35.94
United Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $39.20 / $66.65	Professional		$26.80	$39.20	$66.65