Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $33.67 / $33.67	Facility		$33.52	$33.67	$33.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $22.68 / $33.67	Professional		$17.25	$22.68	$33.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.26 / $1,079.54 / $1,296.51	Facility		$202.26	$1,079.54	$1,296.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $34.17 / $59.43	Professional		$20.30	$34.17	$59.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $24.71 / $35.03	Professional		$19.41	$24.71	$35.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,242.42 / $1,289.99 / $2,460.14	Facility		$1,242.42	$1,289.99	$2,460.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $22.28 / $48.64	Professional		$14.96	$22.28	$48.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $21.92 / $44.30	Professional		$13.59	$21.92	$44.30