Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.41 / $94.48	Facility		$33.88	$42.41	$94.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.52	Professional		$33.88	$33.88	$46.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $44.11 / $57.08	Facility		$33.88	$44.11	$57.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.15	Professional		$33.88	$33.88	$35.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.74	Professional		$33.88	$33.88	$45.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $143.74 / $13,785.00	Facility		$58.31	$143.74	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.72 / $36.57	Professional		$34.47	$34.72	$36.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $38.96	Professional		$33.88	$33.88	$38.96