Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $99.88 / $210.54	Facility		$27.16	$99.88	$210.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $31.28 / $41.98	Professional		$26.05	$31.28	$41.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $77.23 / $160.79	Facility		$34.40	$77.23	$160.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $43.37 / $97.97	Professional		$25.49	$43.37	$97.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $36.84 / $50.88	Professional		$24.56	$36.84	$50.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $6,950.00 / $13,785.00	Facility		$24.56	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $24.56 / $24.56	Professional		$24.56	$24.56	$24.56
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $51.99	Professional		$14.74	$21.05	$51.99