Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $47.52 / $47.52	Facility		$34.94	$47.52	$47.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $44.04 / $65.61	Professional		$31.85	$44.04	$65.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $91.22 / $217.18	Facility		$75.95	$91.22	$217.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $58.57 / $119.51	Professional		$32.09	$58.57	$119.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $91.57 / $121.13	Professional		$71.22	$91.57	$121.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $90.67 / $1,641.00	Facility		$73.15	$90.67	$1,641.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $57.27 / $94.99	Professional		$46.81	$57.27	$94.99
United Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $58.10 / $108.01	Professional		$36.14	$58.10	$108.01