Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $65.59 / $132.40	Facility		$52.49	$65.59	$132.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $57.73	Professional		$52.49	$52.49	$57.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.67 / $68.16	Facility		$52.49	$52.67	$68.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $54.47	Professional		$52.49	$52.49	$54.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $56.94 / $64.17	Professional		$54.47	$56.94	$64.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $109.33 / $13,785.00	Facility		$48.53	$109.33	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $48.53 / $50.45	Professional		$45.93	$48.53	$50.45
United Facility/Professional Facility Modifier Low / Median / High Price $42.79 / $42.79 / $42.79	Facility		$42.79	$42.79	$42.79
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $55.46 / $61.94	Professional		$52.49	$55.46	$61.94