Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $83.95 / $278.58	Facility		$33.58	$83.95	$278.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $42.59 / $53.85	Professional		$33.58	$42.59	$53.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $113.31 / $235.12	Facility		$50.16	$113.31	$235.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $58.46 / $128.66	Professional		$33.93	$58.46	$128.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $53.88 / $74.40	Professional		$35.92	$53.88	$74.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $13,785.00 / $13,785.00	Facility		$51.31	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $63.35	Professional		$21.55	$30.79	$63.35