Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $302.00	Facility		$61.66	$67.61	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $79.43	Professional		$25.70	$38.90	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $107.15 / $218.78	Facility		$54.95	$107.15	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $46.77 / $81.28	Professional		$27.54	$46.77	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $91.20	Professional		$33.88	$50.12	$91.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $10,471.29 / $25,118.86	Facility		$47.86	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $47.86	Professional		$38.02	$38.02	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $47.86 / $100.00	Facility		$22.91	$47.86	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $52.48	Professional		$19.50	$28.84	$52.48