Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $103.38 / $394.22	Facility		$36.00	$103.38	$394.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $55.14	Professional		$36.00	$36.00	$55.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $151.57 / $315.82	Facility		$67.37	$151.57	$315.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $75.62 / $99.12	Professional		$36.53	$75.62	$99.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $37.90 / $55.14	Professional		$27.57	$37.90	$55.14
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
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $64.81 / $73.84	Professional		$64.81	$64.81	$73.84
United Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $41.35 / $76.16	Professional		$27.57	$41.35	$76.16