Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $72.31 / $317.80	Facility		$58.46	$72.31	$317.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $58.46 / $65.63	Professional		$40.35	$58.46	$65.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.92 / $112.59 / $234.02	Facility		$49.92	$112.59	$234.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $53.06 / $109.55	Professional		$30.16	$53.06	$109.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $53.62 / $74.05	Professional		$35.75	$53.62	$74.05
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 $20.43 / $30.64 / $52.09	Professional		$20.43	$30.64	$52.09