Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $80.75 / $286.50	Facility		$32.29	$80.75	$286.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $44.06 / $52.95	Professional		$32.29	$44.06	$52.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.49 / $122.70 / $255.42	Facility		$54.49	$122.70	$255.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $56.63 / $116.97	Professional		$32.92	$56.63	$116.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $58.53 / $80.81	Professional		$39.02	$58.53	$80.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $13,785.00 / $13,785.00	Facility		$39.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $39.02 / $39.02	Professional		$39.02	$39.02	$39.02
United Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $30.66 / $56.00	Facility		$30.66	$30.66	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $33.44 / $61.86	Professional		$23.41	$33.44	$61.86