Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $81.28 / $257.04	Facility		$53.70	$81.28	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $58.88	Professional		$21.88	$33.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $190.55	Facility		$47.86	$93.33	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $93.33	Professional		$28.18	$48.98	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $79.43	Professional		$29.51	$46.77	$79.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $10,471.29 / $25,118.86	Facility		$41.69	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $41.69	Professional		$33.11	$33.11	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.69 / $85.11	Facility		$19.50	$41.69	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $60.26	Professional		$17.38	$25.12	$60.26