Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $389.05	Facility		$79.43	$104.71	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $79.43	Professional		$42.66	$52.48	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $138.04 / $281.84	Facility		$60.26	$138.04	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $81.28	Professional		$32.36	$51.29	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $36.31	Professional		$25.12	$29.51	$36.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $9,332.54 / $25,118.86	Facility		$61.66	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $64.57	Professional		$37.15	$40.74	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.66 / $128.82	Facility		$29.51	$61.66	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $79.43	Professional		$25.12	$37.15	$79.43