Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $109.23 / $554.23	Facility		$43.69	$109.23	$554.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $43.69 / $67.53	Professional		$28.52	$43.69	$67.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $80.83 / $167.53	Facility		$35.72	$80.83	$167.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $42.48 / $76.59	Professional		$36.22	$42.48	$76.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $20.11 / $29.25	Professional		$14.62	$20.11	$29.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $6,950.00 / $13,785.00	Facility		$25.59	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $54.22	Professional		$25.59	$25.59	$54.22
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $81.31	Professional		$15.36	$21.94	$81.31