Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $95.67 / $444.90	Facility		$29.19	$95.67	$444.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $33.77 / $62.22	Professional		$28.01	$33.77	$62.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $171.77 / $356.42	Facility		$54.35	$171.77	$356.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $30.96 / $93.81	Professional		$24.64	$30.96	$93.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $38.89 / $46.67	Professional		$23.40	$38.89	$46.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $8,702.00 / $13,785.00	Facility		$54.45	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $54.45 / $54.45	Professional		$36.22	$54.45	$54.45
United Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $46.67 / $56.46	Professional		$27.22	$46.67	$56.46