Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $43.58 / $169.31	Facility		$17.43	$43.58	$169.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $23.68 / $27.96	Professional		$17.43	$23.68	$27.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $64.95 / $135.63	Facility		$28.93	$64.95	$135.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $19.23	Professional		$19.23	$19.23	$19.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $38.78 / $53.93	Professional		$31.08	$38.78	$53.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $33.71	Professional		$12.43	$17.76	$33.71