Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.40 / $130.96 / $624.22	Facility		$69.40	$130.96	$624.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $81.02 / $103.67	Professional		$69.41	$81.02	$103.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $240.34 / $500.07	Facility		$106.68	$240.34	$500.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $127.10 / $270.67	Professional		$72.15	$127.10	$270.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $114.59 / $158.24	Professional		$76.39	$114.59	$158.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.39 / $13,785.00 / $13,785.00	Facility		$76.39	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $76.39 / $76.39	Professional		$76.39	$76.39	$76.39
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $65.48 / $152.60	Professional		$45.83	$65.48	$152.60