Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $51.43 / $136.62	Facility		$20.57	$51.43	$136.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $20.57 / $31.79	Professional		$10.50	$20.57	$31.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $58.46 / $121.80	Facility		$18.57	$58.46	$121.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.84 / $38.20	Professional		$17.00	$21.84	$38.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $15.68 / $19.64	Professional		$12.23	$15.68	$19.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $8,702.00 / $13,785.00	Facility		$18.61	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $18.61 / $25.52	Professional		$18.61	$18.61	$25.52
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $15.95 / $37.13	Professional		$10.29	$15.95	$37.13