Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $389.05	Facility		$81.28	$85.11	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $77.62	Professional		$33.88	$51.29	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $295.12	Facility		$74.13	$141.25	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $97.72	Professional		$70.79	$77.62	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $38.02	Professional		$25.70	$30.20	$38.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $10,471.29 / $25,703.96	Facility		$64.57	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $51.29	Professional		$38.90	$41.69	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $131.83	Facility		$30.20	$64.57	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $66.07	Professional		$25.12	$38.90	$66.07