Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $36.31 / $169.82	Facility		$32.36	$36.31	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $32.36	Professional		$12.88	$20.89	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $60.26 / $123.03	Facility		$26.30	$60.26	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $38.90	Professional		$11.75	$14.79	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $20.42	Professional		$10.72	$12.88	$20.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $10,715.19 / $25,703.96	Facility		$26.92	$10,715.19	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.60 / $23.99	Professional		$15.85	$16.60	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $26.92 / $56.23	Facility		$12.88	$26.92	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $26.30	Professional		$10.96	$16.22	$26.30