Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $41.88 / $180.75	Facility		$16.75	$41.88	$180.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $20.74 / $26.86	Professional		$16.75	$20.74	$26.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $46.92 / $99.24	Facility		$30.89	$46.92	$99.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $36.34 / $45.43	Professional		$16.75	$36.34	$45.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $15.80 / $18.96	Professional		$12.64	$15.80	$18.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $22.12 / $8,702.00	Facility		$22.12	$22.12	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $22.12 / $22.12	Professional		$22.12	$22.12	$22.12
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $18.96 / $32.39	Professional		$13.27	$18.96	$32.39