Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $33.35 / $150.00	Facility		$14.36	$33.35	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $17.79 / $23.04	Professional		$14.37	$17.79	$23.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $59.90 / $124.23	Facility		$26.50	$59.90	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $29.75 / $39.24	Professional		$14.37	$29.75	$39.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $13.56 / $16.27	Professional		$10.61	$13.56	$16.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $6,950.00 / $8,702.00	Facility		$4,207.00	$6,950.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $21.69	Professional		$18.16	$18.16	$21.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.84 / $27.65	Professional		$10.50	$15.84	$27.65