Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $77.03 / $329.94	Facility		$21.62	$77.03	$329.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $24.43 / $51.35	Professional		$21.62	$24.43	$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 $19.39 / $25.44 / $73.51	Professional		$19.39	$25.44	$73.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $33.52 / $38.51	Professional		$25.68	$33.52	$38.51
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 $28.50 / $44.93 / $44.93	Professional		$28.50	$44.93	$44.93
United Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $57.77 / $77.03	Facility		$35.29	$57.77	$77.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $37.50 / $43.97	Professional		$22.47	$37.50	$43.97