Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $67.33 / $242.41	Facility		$26.93	$67.33	$242.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $35.18 / $48.74	Professional		$26.28	$35.18	$48.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.43 / $93.10 / $194.20	Facility		$41.43	$93.10	$194.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $43.93 / $106.00	Professional		$25.31	$43.93	$106.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $44.50 / $77.22	Professional		$29.67	$44.50	$77.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $13,785.00 / $13,785.00	Facility		$29.67	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $29.67 / $29.67	Professional		$29.67	$29.67	$29.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $36.02 / $52.98	Professional		$19.07	$36.02	$52.98