Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $44.90 / $190.16	Facility		$35.90	$44.90	$190.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $53.21 / $107.29	Facility		$35.11	$53.21	$107.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Facility		$35.92	$35.92	$35.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $41.63 / $65.45	Professional		$25.14	$41.63	$65.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $21.55 / $36.64	Professional		$15.08	$21.55	$36.64