Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $35.93 / $155.07	Facility		$14.37	$35.93	$155.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $15.66 / $23.04	Professional		$14.37	$15.66	$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 $13.01 / $16.54 / $31.39	Professional		$13.01	$16.54	$31.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.91 / $21.69	Professional		$10.84	$14.91	$21.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $17.62 / $17.62	Professional		$9.75	$17.62	$17.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $16.27 / $27.79	Professional		$10.50	$16.27	$27.79