Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $57.89 / $247.95	Facility		$27.16	$57.89	$247.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $37.63 / $45.83	Professional		$26.05	$37.63	$45.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $106.10 / $221.05	Facility		$47.16	$106.10	$221.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $47.61 / $97.97	Professional		$28.32	$47.61	$97.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $50.65 / $69.95	Professional		$33.77	$50.65	$69.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $8,702.00 / $13,785.00	Facility		$33.77	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $33.77 / $33.77	Professional		$33.77	$33.77	$33.77
United Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $28.94 / $55.13	Professional		$20.02	$28.94	$55.13