Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $10.18 / $34.49	Facility		$4.07	$10.18	$34.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.88 / $6.25	Professional		$4.04	$4.88	$6.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $13.42 / $30.75	Facility		$4.69	$13.42	$30.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.19 / $7.85	Professional		$3.56	$4.19	$7.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.69 / $5.37	Professional		$2.68	$3.69	$5.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $13,785.00 / $13,785.00	Facility		$4.70	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $5.23	Professional		$4.70	$4.70	$5.23
United Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $3.69 / $7.00	Facility		$3.69	$3.69	$7.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $4.03 / $7.35	Professional		$2.68	$4.03	$7.35