Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $66.48 / $249.68	Facility		$52.38	$66.48	$249.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $45.08 / $66.48	Professional		$34.04	$45.08	$66.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $95.99 / $200.02	Facility		$50.20	$95.99	$200.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $50.98 / $108.27	Professional		$28.77	$50.98	$108.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $45.83 / $63.29	Professional		$30.56	$45.83	$63.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $6,950.00 / $13,785.00	Facility		$30.56	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $30.56 / $30.56	Professional		$30.56	$30.56	$30.56
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $26.19 / $59.55	Professional		$18.32	$26.19	$59.55