Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $43.21 / $43.21	Facility		$22.43	$43.21	$43.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $43.44 / $111.35	Professional		$28.79	$43.44	$111.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $78.08 / $82.63	Facility		$78.08	$78.08	$82.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $64.34 / $142.59	Professional		$29.14	$64.34	$142.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $193.72 / $251.56	Professional		$148.09	$193.72	$251.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.03 / $1,289.99 / $2,619.90	Facility		$1,041.03	$1,289.99	$2,619.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $77.31 / $135.33	Professional		$65.19	$77.31	$135.33
United Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $78.68 / $144.22	Professional		$47.10	$78.68	$144.22