Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $63.10 / $186.59	Facility		$25.24	$63.10	$186.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $25.24 / $38.10	Professional		$17.29	$25.24	$38.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $72.17 / $149.47	Facility		$31.88	$72.17	$149.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $37.58 / $54.69	Professional		$21.08	$37.58	$54.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $19.25 / $32.61	Professional		$15.01	$19.25	$32.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $13,785.00 / $13,785.00	Facility		$22.83	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $22.83 / $29.98	Professional		$22.83	$22.83	$29.98
United Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $17.94 / $36.00	Facility		$17.94	$17.94	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $19.57 / $45.56	Professional		$13.70	$19.57	$45.56