Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $194.98	Facility		$57.54	$93.33	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $77.62	Professional		$57.54	$57.54	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $87.10	Facility		$54.95	$64.57	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $70.79	Professional		$58.88	$61.66	$70.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $11,481.54 / $25,703.96	Facility		$134.90	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $54.95	Professional		$52.48	$52.48	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $87.10	Facility		$67.61	$85.11	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $63.10	Professional		$50.12	$57.54	$63.10