Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $38.32 / $129.54	Facility		$23.97	$38.32	$129.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $25.50 / $36.86	Professional		$23.00	$25.50	$36.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $68.56 / $141.96	Facility		$21.65	$68.56	$141.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $25.44 / $44.40	Professional		$19.86	$25.44	$44.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $17.04 / $24.78	Professional		$12.39	$17.04	$24.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $13,785.00 / $13,785.00	Facility		$21.69	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $21.69 / $28.48	Professional		$21.69	$21.69	$28.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $18.59 / $43.28	Professional		$12.60	$18.59	$43.28