Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $83.18 / $363.08	Facility		$75.86	$83.18	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $97.72	Professional		$34.67	$47.86	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $128.82 / $269.15	Facility		$67.61	$128.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $97.72	Professional		$33.88	$56.23	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $112.20	Professional		$40.74	$61.66	$112.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $10,232.93 / $25,118.86	Facility		$58.88	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $58.88	Professional		$46.77	$46.77	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $58.88 / $120.23	Facility		$27.54	$58.88	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $63.10	Professional		$23.44	$35.48	$63.10