Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $128.82 / $676.08	Facility		$46.77	$128.82	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $67.61	Professional		$28.18	$40.74	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $81.28 / $165.96	Facility		$38.02	$81.28	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $56.23	Professional		$37.15	$43.65	$56.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $63.10	Professional		$14.45	$18.20	$63.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $9,332.54 / $25,118.86	Facility		$36.31	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $63.10	Professional		$32.36	$53.70	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $36.31 / $75.86	Facility		$17.38	$36.31	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $83.18	Professional		$14.45	$21.88	$83.18