Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $96.79 / $11,926.95	Facility		$74.34	$96.79	$11,926.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $87.85	Professional		$74.36	$74.36	$87.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $78.29 / $101.31	Facility		$70.15	$78.29	$101.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $77.17	Professional		$74.36	$74.36	$77.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $90.72	Professional		$74.36	$74.36	$90.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $161.33 / $13,785.00	Facility		$73.37	$161.33	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $72.91 / $74.45	Professional		$68.47	$72.91	$74.45
United Facility/Professional Facility Modifier Low / Median / High Price $157.75 / $157.75 / $157.75	Facility		$157.75	$157.75	$157.75
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.45 / $89.23	Professional		$74.36	$78.45	$89.23