Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $46.77 / $151.36	Facility		$30.90	$46.77	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $43.65	Professional		$18.20	$20.89	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $53.70 / $112.20	Facility		$23.99	$53.70	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $35.48	Professional		$15.85	$23.99	$35.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $27.54	Professional		$9.77	$12.02	$27.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $10,471.29 / $25,118.86	Facility		$24.55	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $26.92	Professional		$21.38	$22.39	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $24.55 / $50.12	Facility		$11.48	$24.55	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.45 / $35.48	Professional		$9.77	$14.45	$35.48