Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $38.57 / $161.31	Facility		$10.23	$38.57	$161.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.67 / $30.86	Professional		$10.23	$12.67	$30.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $85.17 / $176.74	Facility		$26.95	$85.17	$176.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.88 / $44.19	Professional		$8.94	$10.88	$44.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $19.29 / $23.14	Professional		$15.43	$19.29	$23.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $13,785.00 / $13,785.00	Facility		$27.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $27.00 / $27.00	Professional		$13.58	$27.00	$27.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $23.14 / $23.14	Professional		$13.50	$23.14	$23.14