Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.13 / $140.33 / $546.37	Facility		$56.13	$140.33	$546.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $66.98 / $76.42	Professional		$45.44	$66.98	$76.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $210.75 / $437.71	Facility		$69.51	$210.75	$437.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $62.45 / $109.86	Professional		$51.79	$62.45	$109.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $52.54 / $76.42	Professional		$38.21	$52.54	$76.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $13,785.00 / $13,785.00	Facility		$66.86	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $66.86 / $70.81	Professional		$66.86	$66.86	$70.81
United Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $55.40 / $65.62	Facility		$33.43	$55.40	$65.62
United Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $57.31 / $103.16	Professional		$37.07	$57.31	$103.16