Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $21.44 / $87.18	Facility		$9.88	$21.44	$87.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.23 / $15.84	Professional		$9.88	$12.23	$15.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $41.14 / $85.42	Facility		$18.22	$41.14	$85.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.24 / $21.48	Professional		$8.94	$11.24	$21.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $10.25 / $11.18	Professional		$7.46	$10.25	$11.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $4,207.00 / $8,702.00	Facility		$4,207.00	$4,207.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $10.19 / $14.91	Professional		$9.75	$10.19	$14.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $11.18 / $19.11	Professional		$6.52	$11.18	$19.11