Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.11 / $120.28 / $468.35	Facility		$48.11	$120.28	$468.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $57.42 / $65.50	Professional		$38.95	$57.42	$65.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $180.43 / $375.20	Facility		$59.59	$180.43	$375.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $53.63 / $94.16	Professional		$44.49	$53.63	$94.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $45.03 / $65.50	Professional		$32.75	$45.03	$65.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $13,785.00 / $13,785.00	Facility		$57.32	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $57.32 / $63.41	Professional		$57.32	$57.32	$63.41
United Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $49.13 / $93.05	Professional		$31.77	$49.13	$93.05