Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $43.50 / $148.19	Facility		$22.30	$43.50	$148.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $23.73 / $33.67	Professional		$21.41	$23.73	$33.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $63.51 / $132.11	Facility		$20.14	$63.51	$132.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $23.54 / $41.30	Professional		$18.43	$23.54	$41.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $17.01 / $28.83	Professional		$13.26	$17.01	$28.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.18 / $8,702.00 / $13,785.00	Facility		$20.18	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $20.18 / $26.50	Professional		$20.18	$20.18	$26.50
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $17.30 / $42.71	Professional		$12.11	$17.30	$42.71