Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $36.22 / $122.45	Facility		$22.65	$36.22	$122.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $22.84 / $34.20	Professional		$21.73	$22.84	$34.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $64.23 / $134.16	Facility		$20.46	$64.23	$134.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $23.96 / $42.33	Professional		$18.75	$23.96	$42.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $16.10 / $23.42	Professional		$13.47	$16.10	$23.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $8,702.00 / $13,785.00	Facility		$20.50	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $20.50 / $28.11	Professional		$20.50	$20.50	$28.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $40.90	Professional		$12.30	$17.57	$40.90