Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $58.13 / $792.57	Facility		$13.46	$58.13	$792.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $38.82 / $151.61	Professional		$13.46	$38.82	$151.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $417.89 / $868.40	Facility		$132.41	$417.89	$868.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $42.83 / $217.65	Professional		$34.15	$42.83	$217.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $94.76 / $113.71	Professional		$59.06	$94.76	$113.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $8,702.00 / $13,785.00	Facility		$132.66	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $132.66 / $132.66	Professional		$16.70	$132.66	$132.66
United Facility/Professional Facility Modifier Low / Median / High Price $104.23 / $104.23 / $104.23	Facility		$104.23	$104.23	$104.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $94.76 / $132.66	Professional		$25.76	$94.76	$132.66