Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.82 / $130.55 / $628.36	Facility		$49.82	$130.55	$628.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $57.65 / $84.91	Professional		$47.80	$57.65	$84.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $233.84 / $486.37	Facility		$74.17	$233.84	$486.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $52.80 / $152.29	Professional		$42.06	$52.80	$152.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $58.38 / $72.72	Professional		$42.46	$58.38	$72.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $13,785.00 / $13,785.00	Facility		$74.30	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $74.30 / $74.30	Professional		$67.45	$74.30	$74.30
United Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $63.68 / $108.26	Professional		$41.09	$63.68	$108.26