Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $51.42 / $120.67	Facility		$4.65	$51.42	$120.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $50.21 / $51.42	Professional		$41.74	$50.21	$51.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $19.07 / $51.42	Facility		$14.74	$19.07	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $54.09 / $54.09	Professional		$9.25	$54.09	$54.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $52.82 / $13,785.00	Facility		$15.64	$52.82	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $54.09 / $54.09	Professional		$8.69	$54.09	$54.09
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $53.25 / $59.98	Professional		$50.40	$53.25	$59.98