Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $67.90 / $210.51	Facility		$27.16	$67.90	$210.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $32.19 / $41.98	Professional		$26.05	$32.19	$41.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $86.61 / $179.90	Facility		$38.38	$86.61	$179.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $44.51 / $97.97	Professional		$25.49	$44.51	$97.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $41.22 / $56.93	Professional		$27.48	$41.22	$56.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $8,702.00 / $13,785.00	Facility		$27.48	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $27.48 / $27.48	Professional		$27.48	$27.48	$27.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $55.13	Professional		$16.48	$23.56	$55.13