Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $44.67 / $204.17	Facility		$43.65	$44.67	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $33.11	Professional		$19.95	$26.92	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $154.88	Facility		$38.90	$74.13	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $74.13	Professional		$35.48	$45.71	$74.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $9,549.93 / $25,118.86	Facility		$33.88	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $34.67	Professional		$26.92	$32.36	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.88 / $69.18	Facility		$15.85	$33.88	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $35.48	Professional		$13.49	$20.42	$35.48