Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.97 / $134.66 / $626.28	Facility		$60.97	$134.66	$626.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $60.97 / $87.59	Professional		$10.34	$60.97	$87.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $241.06 / $501.72	Facility		$76.51	$241.06	$501.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $62.06 / $125.55	Professional		$52.46	$62.06	$125.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $60.22 / $87.59	Professional		$43.80	$60.22	$87.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $76.64 / $13,785.00	Facility		$76.64	$76.64	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $76.64 / $76.64	Professional		$76.64	$76.64	$76.64
United Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $65.69 / $117.92	Professional		$42.39	$65.69	$117.92