Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.62 / $94.38 / $388.50	Facility		$30.62	$94.38	$388.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $35.43 / $62.92	Professional		$29.38	$35.43	$62.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $173.22 / $360.40	Facility		$54.96	$173.22	$360.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $32.44 / $90.88	Professional		$25.85	$32.44	$90.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $43.26 / $47.19	Professional		$31.46	$43.26	$47.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $8,702.00 / $13,785.00	Facility		$55.06	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $55.06 / $55.06	Professional		$44.23	$55.06	$55.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $47.19 / $59.21	Professional		$27.53	$47.19	$59.21