Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $67.63 / $274.83	Facility		$27.05	$67.63	$274.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $41.71 / $50.80	Professional		$27.05	$41.71	$50.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $117.64 / $245.02	Facility		$52.27	$117.64	$245.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $48.01 / $97.97	Professional		$28.10	$48.01	$97.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $56.14 / $77.53	Professional		$37.43	$56.14	$77.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $8,702.00 / $13,785.00	Facility		$37.43	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $37.43 / $37.43	Professional		$37.43	$37.43	$37.43
United Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $29.41 / $53.00	Facility		$29.41	$29.41	$53.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $32.08 / $57.75	Professional		$22.19	$32.08	$57.75