Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $28.41 / $312.99	Facility		$6.66	$28.41	$312.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $7.71 / $64.37	Professional		$6.40	$7.71	$64.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $160.91 / $368.70	Facility		$56.23	$160.91	$368.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $7.00 / $92.51	Professional		$5.63	$7.00	$92.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $40.22 / $48.28	Professional		$9.73	$40.22	$48.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.32 / $8,702.00 / $13,785.00	Facility		$56.32	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $56.32 / $56.32	Professional		$9.61	$56.32	$56.32
United Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $40.22 / $56.32	Professional		$12.03	$40.22	$56.32