Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $22.37 / $77.98	Facility		$9.88	$22.37	$77.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.41 / $15.84	Professional		$9.88	$12.41	$15.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $23.58 / $55.59	Facility		$13.03	$23.58	$55.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $20.45 / $26.85	Professional		$9.88	$20.45	$26.85
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 $14.91 / $14.91 / $14.91	Professional		$14.91	$14.91	$14.91
United Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $16.78 / $22.37	Facility		$16.78	$16.78	$22.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $11.18 / $19.01	Professional		$7.22	$11.18	$19.01