Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $133.71 / $268.83	Facility		$47.00	$133.71	$268.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $133.72	Professional		$32.50	$39.31	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $103.93 / $215.37	Facility		$45.94	$103.93	$215.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $50.31 / $101.12	Professional		$27.82	$50.31	$101.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $49.35 / $68.15	Professional		$32.90	$49.35	$68.15
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 $19.73 / $28.20 / $48.18	Professional		$19.73	$28.20	$48.18