Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.07 / $208.93	Facility		$43.65	$66.07	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $61.66	Professional		$25.12	$30.20	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $75.86 / $154.88	Facility		$33.11	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $48.98	Professional		$22.39	$27.54	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $38.02	Professional		$12.02	$15.85	$38.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $10,471.29 / $25,118.86	Facility		$33.88	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $38.02	Professional		$30.20	$30.90	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.88 / $69.18	Facility		$15.85	$33.88	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $50.12	Professional		$13.49	$20.42	$50.12