Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $58.98 / $102.07	Facility		$41.83	$58.98	$102.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $40.84 / $41.83	Professional		$39.36	$40.84	$41.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $25.72 / $28.29	Facility		$21.86	$25.72	$28.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $26.63	Professional		$21.86	$25.72	$26.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $66.42 / $70.33	Professional		$58.61	$66.42	$70.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $66.42 / $66.42	Professional		$66.42	$66.42	$66.42
United Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $71.44 / $75.01	Professional		$28.58	$71.44	$75.01