Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $186.21	Facility		$38.02	$39.81	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $50.12	Professional		$15.14	$23.99	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $138.04	Facility		$34.67	$66.07	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $46.77	Professional		$16.22	$26.92	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $57.54	Professional		$20.89	$31.62	$57.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $10,471.29 / $25,118.86	Facility		$30.20	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $61.66	Facility		$14.13	$30.20	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $31.62	Professional		$12.02	$18.20	$31.62