Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $75.59 / $316.16	Facility		$15.85	$75.59	$316.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $22.45 / $64.26	Professional		$15.86	$22.45	$64.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.83 / $151.19 / $346.43	Facility		$52.83	$151.19	$346.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $42.63 / $102.59	Professional		$16.91	$42.63	$102.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $45.36 / $100.70	Professional		$30.24	$45.36	$100.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $8,702.00 / $13,785.00	Facility		$52.92	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $52.92 / $52.92	Professional		$23.94	$52.92	$52.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $37.60 / $49.14	Professional		$14.97	$37.60	$49.14