Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Professional		$77.62	$77.62	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $117.49	Facility		$74.13	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $245.47	Professional		$66.07	$81.28	$245.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $8,709.64 / $23,988.33	Facility		$218.78	$8,709.64	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $125.89	Professional		$77.62	$93.33	$125.89