Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $4,825.12 / $17,008.50	Facility		$58.92	$4,825.12	$17,008.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $57.54 / $58.93	Professional		$55.46	$57.54	$58.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.67 / $58.93 / $73.34	Facility		$56.67	$58.93	$73.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.34 / $110.71 / $13,785.00	Facility		$55.34	$110.71	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $56.67 / $3,600.00	Professional		$56.67	$56.67	$3,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $61.32	Professional		$57.78	$57.78	$61.32