Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $45.09 / $224.11	Facility		$36.74	$45.09	$224.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $40.42	Professional		$36.74	$36.74	$40.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $38.14 / $49.36	Facility		$36.74	$38.14	$49.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $38.13	Professional		$36.74	$36.74	$38.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $38.13 / $44.82	Professional		$38.13	$38.13	$44.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $8,702.00 / $13,785.00	Facility		$69.66	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $35.85 / $35.86	Professional		$33.13	$35.85	$35.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $38.76 / $42.05	Professional		$36.74	$38.76	$42.05