Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $135.00 / $429.17	Facility		$66.65	$135.00	$429.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $135.00 / $135.00	Professional		$43.32	$135.00	$135.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $122.70 / $254.50	Facility		$38.79	$122.70	$254.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $37.94 / $80.02	Professional		$29.44	$37.94	$80.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $30.55 / $36.72	Professional		$22.22	$30.55	$36.72
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 $44.43 / $44.43 / $53.41	Professional		$44.43	$44.43	$53.41
United Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $33.32 / $56.93	Professional		$21.50	$33.32	$56.93