Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $186.21	Facility		$38.02	$57.54	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $53.70	Professional		$21.88	$25.12	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $66.07 / $134.90	Facility		$28.84	$66.07	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $42.66	Professional		$17.78	$24.55	$42.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $33.88	Professional		$11.75	$14.79	$33.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $10,471.29 / $25,118.86	Facility		$29.51	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $27.54 / $33.11	Professional		$26.30	$27.54	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $60.26	Facility		$13.80	$29.51	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $43.65	Professional		$11.48	$17.78	$43.65