Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.98 / $134.90	Facility		$27.54	$48.98	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $38.90	Professional		$15.14	$19.05	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $47.86 / $97.72	Facility		$20.89	$47.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $32.36	Professional		$14.13	$20.89	$32.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $24.55	Professional		$8.51	$10.72	$24.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $10,471.29 / $25,118.86	Facility		$21.38	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $23.99	Professional		$19.05	$19.95	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $21.38 / $43.65	Facility		$10.00	$21.38	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $31.62	Professional		$8.32	$12.88	$31.62