Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $9.33 / $30.90	Facility		$5.75	$9.33	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $9.33	Professional		$3.02	$3.98	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $10.72 / $22.91	Facility		$4.90	$10.72	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.79 / $7.24	Professional		$3.16	$4.79	$7.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.51 / $5.37	Professional		$2.00	$2.51	$5.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10,471.29 / $25,118.86	Facility		$5.01	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.47 / $5.50	Professional		$4.37	$4.47	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $5.01 / $10.23	Facility		$2.34	$5.01	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $7.08	Professional		$2.00	$3.02	$7.08