Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $30.67 / $161.72	Facility		$15.73	$30.67	$161.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $28.54 / $37.90	Professional		$15.73	$28.54	$37.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $85.17 / $148.84	Facility		$76.45	$85.17	$148.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $24.10 / $61.91	Professional		$13.60	$24.10	$61.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $14.18 / $30.61	Professional		$11.28	$14.18	$30.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $416.61 / $13,785.00	Facility		$31.70	$416.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $56.89 / $111.98	Professional		$44.92	$56.89	$111.98
United Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $330.55 / $720.68	Facility		$78.93	$330.55	$720.68
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $21.32 / $31.89	Professional		$11.72	$21.32	$31.89