Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $69.90 / $266.55	Facility		$44.13	$69.90	$266.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $44.13 / $44.27	Professional		$31.78	$44.13	$44.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $102.49 / $213.54	Facility		$45.55	$102.49	$213.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $54.14 / $106.31	Professional		$28.34	$54.14	$106.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $48.93 / $67.56	Professional		$32.61	$48.93	$67.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $4,207.00 / $13,785.00	Facility		$32.61	$4,207.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $32.61	Professional		$32.61	$32.61	$32.61
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.96 / $58.40	Professional		$19.57	$27.96	$58.40