Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $65.51 / $240.60	Facility		$31.04	$65.51	$240.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $37.11 / $50.22	Professional		$29.78	$37.11	$50.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $95.99 / $200.11	Facility		$42.69	$95.99	$200.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $45.33 / $111.86	Professional		$26.41	$45.33	$111.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $45.85 / $63.32	Professional		$30.57	$45.85	$63.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $8,702.00 / $13,785.00	Facility		$30.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $30.57 / $30.57	Professional		$30.57	$30.57	$30.57
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $26.20 / $59.58	Professional		$18.34	$26.20	$59.58