Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $31.40 / $127.68	Facility		$13.30	$31.40	$127.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $19.73 / $21.84	Professional		$12.71	$19.73	$21.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $59.90 / $125.10	Facility		$19.07	$59.90	$125.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $13.99 / $39.24	Professional		$11.23	$13.99	$39.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $16.11 / $19.42	Professional		$12.56	$16.11	$19.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $13,785.00 / $13,785.00	Facility		$19.11	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $19.11 / $19.11	Professional		$16.51	$19.11	$19.11
United Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $12.27 / $15.02	Facility		$9.56	$12.27	$15.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $15.95 / $25.73	Professional		$9.56	$15.95	$25.73