Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $83.30 / $289.99	Facility		$55.92	$83.30	$289.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $83.30 / $83.30	Professional		$36.35	$83.30	$83.30
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 $27.70 / $49.94 / $99.72	Professional		$27.70	$49.94	$99.72
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 $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 $18.64 / $27.96 / $57.08	Professional		$18.64	$27.96	$57.08