Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $20.66 / $104.55	Facility		$13.00	$20.66	$104.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.01 / $19.62	Professional		$12.48	$15.01	$19.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $36.81 / $76.98	Facility		$11.74	$36.81	$76.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $24.26	Professional		$10.80	$13.78	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $9.91 / $16.80	Professional		$7.73	$9.91	$16.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $13,785.00 / $13,785.00	Facility		$11.76	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $15.44	Professional		$11.76	$11.76	$15.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $10.08 / $23.47	Professional		$6.72	$10.08	$23.47