Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $78.95 / $380.01	Facility		$28.83	$78.95	$380.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $35.43 / $51.35	Professional		$28.83	$35.43	$51.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $141.46 / $294.14	Facility		$44.85	$141.46	$294.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $33.93 / $73.51	Professional		$25.85	$33.93	$73.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $35.29 / $44.70	Professional		$25.68	$35.29	$44.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $13,785.00 / $13,785.00	Facility		$44.93	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $44.93 / $44.93	Professional		$40.79	$44.93	$44.93
United Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $38.51 / $55.76	Professional		$22.47	$38.51	$55.76