Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $32.63 / $155.07	Facility		$13.05	$32.63	$155.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $16.16 / $21.69	Professional		$13.05	$16.16	$21.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $59.90 / $124.23	Facility		$18.94	$59.90	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $13.89 / $31.39	Professional		$11.42	$13.89	$31.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.91 / $20.39	Professional		$10.84	$14.91	$20.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $13,785.00 / $13,785.00	Facility		$18.98	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $18.98 / $18.98	Professional		$18.98	$18.98	$18.98
United Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $14.91 / $14.91	Facility		$14.91	$14.91	$14.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $16.27 / $26.75	Professional		$9.49	$16.27	$26.75