Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $74.39 / $297.48	Facility		$35.85	$74.39	$297.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $42.15 / $57.50	Professional		$35.85	$42.15	$57.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $108.98 / $227.24	Facility		$48.48	$108.98	$227.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $57.77 / $123.27	Professional		$32.85	$57.77	$123.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $52.07 / $71.91	Professional		$34.71	$52.07	$71.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $13,785.00 / $13,785.00	Facility		$34.71	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $34.71 / $34.71	Professional		$34.71	$34.71	$34.71
United Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $44.63 / $59.51	Facility		$44.63	$44.63	$59.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $29.75 / $67.65	Professional		$20.83	$29.75	$67.65