Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $75.65 / $316.11	Facility		$26.58	$75.65	$316.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $30.76 / $49.20	Professional		$22.03	$30.76	$49.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $135.69 / $281.81	Facility		$42.98	$135.69	$281.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $28.20 / $70.62	Professional		$22.44	$28.20	$70.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $33.83 / $38.79	Professional		$24.60	$33.83	$38.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $13,785.00 / $13,785.00	Facility		$43.05	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $43.05 / $43.05	Professional		$32.97	$43.05	$43.05
United Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Facility		$33.83	$33.83	$33.83
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $36.90 / $50.89	Professional		$21.53	$36.90	$50.89