Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $65.68 / $194.14	Facility		$26.27	$65.68	$194.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.47 / $40.60	Professional		$25.20	$26.47	$40.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $75.06 / $155.52	Facility		$23.72	$75.06	$155.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $26.24 / $39.42	Professional		$21.77	$26.24	$39.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $18.67 / $27.15	Professional		$13.58	$18.67	$27.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $8,702.00 / $13,785.00	Facility		$23.76	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $23.76 / $32.59	Professional		$23.76	$23.76	$32.59
United Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $20.36 / $38.46	Professional		$13.58	$20.36	$38.46