Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $52.48	Professional		$41.69	$43.65	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $58.88	Facility		$45.71	$45.71	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $229.09	Professional		$25.70	$30.90	$229.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $10,715.19 / $25,118.86	Facility		$83.18	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $125.89	Professional		$44.67	$89.13	$125.89