Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $125.50 / $371.11	Facility		$50.20	$125.50	$371.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $50.61 / $77.59	Professional		$48.17	$50.61	$77.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $142.90 / $297.30	Facility		$45.33	$142.90	$297.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $53.22 / $93.44	Professional		$41.63	$53.22	$93.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $35.68 / $51.90	Professional		$25.95	$35.68	$51.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $13,785.00 / $13,785.00	Facility		$45.42	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $45.42 / $59.63	Professional		$45.42	$45.42	$59.63
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.93 / $90.64	Professional		$27.25	$38.93	$90.64