Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $75.00 / $244.00	Professional		$12.39	$75.00	$244.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $314.62 / $377.85	Facility		$314.62	$314.62	$377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $85.97 / $85.97	Professional		$21.43	$85.97	$85.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $23.85 / $31.02	Professional		$18.55	$23.85	$31.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.20 / $380.40 / $675.13	Facility		$344.20	$380.40	$675.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $15.54 / $25.82	Professional		$12.27	$15.54	$25.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,336.00 / $9,152.00	Facility		$1,516.00	$3,336.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $17.26 / $32.22	Professional		$11.54	$17.26	$32.22