Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $110.20 / $5,857.35	Facility		$61.43	$110.20	$5,857.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $71.88	Professional		$61.44	$61.44	$71.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $76.67 / $99.22	Facility		$61.44	$76.67	$99.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $63.75	Professional		$61.44	$61.44	$63.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $66.65 / $83.19	Professional		$63.76	$66.65	$83.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.36 / $136.46 / $13,785.00	Facility		$102.36	$136.46	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $63.06 / $65.14	Professional		$62.97	$63.06	$65.14
United Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $72.23 / $88.00	Facility		$72.23	$72.23	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $64.81 / $75.29	Professional		$61.44	$64.81	$75.29