Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $59.04 / $131.52	Facility		$47.97	$59.04	$131.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $52.29	Professional		$47.97	$47.97	$52.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $55.74 / $72.14	Facility		$47.97	$55.74	$72.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $49.78	Professional		$47.97	$47.97	$49.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $58.54	Professional		$47.97	$47.97	$58.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $175.76 / $13,785.00	Facility		$79.92	$175.76	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.58	Professional		$48.00	$48.00	$48.58
United Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $48.23 / $127.81	Facility		$43.24	$48.23	$127.81
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $55.00	Professional		$47.97	$47.97	$55.00