Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $95.62 / $193.02	Facility		$73.94	$95.62	$193.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $81.33	Professional		$73.94	$73.94	$81.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $73.94 / $94.96	Facility		$73.38	$73.94	$94.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $76.73	Professional		$73.94	$73.94	$76.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $80.20 / $90.21	Professional		$76.73	$80.20	$90.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.19 / $313.69 / $13,785.00	Facility		$140.19	$313.69	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $70.38 / $73.55	Professional		$68.80	$70.38	$73.55
United Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $56.51 / $56.51	Facility		$56.51	$56.51	$56.51
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.13 / $83.83	Professional		$73.94	$78.13	$83.83