Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $132.69 / $392.39	Facility		$53.08	$132.69	$392.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $53.08 / $65.17	Professional		$10.34	$53.08	$65.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $151.57 / $314.35	Facility		$67.26	$151.57	$314.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $86.68 / $198.14	Professional		$49.91	$86.68	$198.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $72.03 / $124.99	Professional		$48.02	$72.03	$124.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $8,702.00 / $13,785.00	Facility		$48.02	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $48.02 / $48.02	Professional		$48.02	$48.02	$48.02
United Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $58.31 / $100.15	Professional		$30.47	$58.31	$100.15