Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $82.88 / $301.31	Facility		$33.15	$82.88	$301.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $45.72 / $55.69	Professional		$33.15	$45.72	$55.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $129.19 / $268.62	Facility		$57.30	$129.19	$268.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $58.11 / $119.90	Professional		$34.44	$58.11	$119.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $61.55 / $85.00	Professional		$41.03	$61.55	$85.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $8,702.00 / $13,785.00	Facility		$41.03	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
United Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $52.76 / $70.34	Facility		$52.76	$52.76	$70.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $35.17 / $63.31	Professional		$24.33	$35.17	$63.31