Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $49.50 / $207.66	Facility		$13.46	$49.50	$207.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $35.33 / $48.38	Professional		$13.46	$35.33	$48.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $104.65 / $218.07	Facility		$33.26	$104.65	$218.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $39.01 / $68.15	Professional		$30.50	$39.01	$68.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $26.17 / $38.07	Professional		$19.04	$26.17	$38.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $8,702.00 / $13,785.00	Facility		$33.31	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $33.31 / $33.31	Professional		$16.70	$33.31	$33.31
United Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $28.55 / $40.18	Professional		$16.66	$28.55	$40.18