Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $71.62 / $6,133.40	Facility		$55.64	$71.62	$6,133.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $66.77	Professional		$55.65	$55.65	$66.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $68.27	Facility		$52.50	$55.65	$68.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $56.12	Professional		$55.65	$55.65	$56.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $70.73	Professional		$57.75	$57.75	$70.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $119.38 / $13,785.00	Facility		$92.71	$119.38	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $51.85 / $55.09	Professional		$47.04	$51.85	$55.09
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.71 / $68.56	Professional		$55.65	$58.71	$68.56