Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $47.67 / $101.72	Facility		$38.76	$47.67	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $38.76 / $38.76	Professional		$31.46	$38.76	$38.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $37.60 / $41.36	Facility		$31.96	$37.60	$41.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $49.14	Professional		$38.76	$38.76	$49.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $13,785.00 / $13,785.00	Facility		$83.90	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $43.70	Professional		$38.76	$38.76	$43.70
United Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Facility		$34.15	$34.15	$34.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $40.09 / $45.60	Professional		$38.00	$40.09	$45.60