Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $97.99 / $240.98	Facility		$50.25	$97.99	$240.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $49.66 / $50.33	Professional		$42.13	$49.66	$50.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $53.30 / $122.15	Facility		$28.93	$53.30	$122.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $42.13 / $52.66	Professional		$22.33	$42.13	$52.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $23.17 / $33.70	Professional		$16.85	$23.17	$33.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $8,702.00 / $12,381.00	Facility		$6,950.00	$8,702.00	$12,381.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $25.28 / $43.18	Professional		$16.30	$25.28	$43.18