Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $95.70 / $293.49	Facility		$38.28	$95.70	$293.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $43.61 / $61.39	Professional		$38.10	$43.61	$61.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $113.31 / $235.12	Facility		$50.31	$113.31	$235.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $63.56 / $143.29	Professional		$37.38	$63.56	$143.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $53.88 / $74.40	Professional		$35.92	$53.88	$74.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $13,785.00 / $13,785.00	Facility		$35.92	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
United Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $28.22 / $28.22	Facility		$28.22	$28.22	$28.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $72.22	Professional		$21.55	$30.79	$72.22