Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $33.29 / $131.38	Facility		$13.32	$33.29	$131.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $15.41 / $20.59	Professional		$12.77	$15.41	$20.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $50.52 / $105.26	Facility		$16.05	$50.52	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $13.99 / $33.04	Professional		$11.24	$13.99	$33.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.63 / $18.38	Professional		$9.19	$12.63	$18.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $13,785.00 / $13,785.00	Facility		$16.07	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $13.78 / $24.81	Professional		$8.63	$13.78	$24.81