Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $213.80 / $602.56	Facility		$70.79	$213.80	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $177.83	Professional		$40.74	$63.10	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $123.03 / $257.04	Facility		$53.70	$123.03	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $79.43	Professional		$29.51	$52.48	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $36.31	Professional		$22.39	$27.54	$36.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $10,471.29 / $25,118.86	Facility		$54.95	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $53.70	Professional		$33.11	$44.67	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $54.95 / $114.82	Facility		$26.30	$54.95	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $57.54	Professional		$22.39	$33.11	$57.54