Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $2,041.74 / $7,762.47	Facility		$77.62	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $6,165.95	Professional		$51.29	$60.26	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $52.48 / $67.61	Facility		$45.71	$52.48	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $91.20	Professional		$47.86	$56.23	$91.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $9,549.93 / $25,118.86	Facility		$38.90	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $45.71 / $93.33	Facility		$15.85	$45.71	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $58.88	Professional		$29.51	$51.29	$58.88