Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $128.82	Facility		$30.20	$30.20	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $33.88	Professional		$16.98	$23.99	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $67.61 / $77.62	Facility		$46.77	$67.61	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.50 / $47.86	Professional		$10.47	$19.50	$47.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $21.88	Professional		$10.47	$10.47	$21.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $8,709.64 / $23,988.33	Facility		$36.31	$8,709.64	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $89.13	Professional		$40.74	$48.98	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $151.36 / $309.03	Facility		$74.13	$151.36	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.22 / $24.55	Professional		$9.12	$16.22	$24.55