Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.38 / $75.86	Facility		$10.00	$17.38	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.00 / $15.85	Professional		$3.98	$10.00	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $29.51 / $61.66	Facility		$13.18	$29.51	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.01 / $19.05	Professional		$3.47	$5.01	$19.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.31 / $7.94	Professional		$5.37	$6.31	$7.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $10,471.29 / $25,118.86	Facility		$13.49	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.75 / $11.75	Professional		$4.68	$5.75	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.49 / $27.54	Facility		$6.31	$13.49	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.24 / $9.33	Professional		$4.37	$7.24	$9.33