Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $199.53	Facility		$34.67	$89.13	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $33.88	Professional		$18.20	$22.91	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $66.07 / $138.04	Facility		$29.51	$66.07	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $44.67	Professional		$15.14	$28.84	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $27.54	Professional		$12.02	$14.79	$27.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $10,471.29 / $25,118.86	Facility		$30.20	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $61.66	Facility		$12.02	$30.20	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $32.36	Professional		$11.48	$17.78	$32.36