Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $88.20 / $259.00	Facility		$45.23	$88.20	$259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $45.23	Professional		$45.22	$45.23	$45.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.26 / $57.28 / $131.55	Facility		$44.26	$57.28	$131.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $45.23 / $56.54	Professional		$30.76	$45.23	$56.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Facility		$45.23	$45.23	$45.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $24.90 / $27.17	Professional		$18.11	$24.90	$27.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $31.70 / $8,702.00	Facility		$31.70	$31.70	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $31.66 / $31.66	Professional		$31.66	$31.66	$31.66
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $31.66 / $45.23	Professional		$20.35	$31.66	$45.23