Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $43.83 / $129.56	Facility		$17.53	$43.83	$129.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $17.67 / $27.09	Professional		$16.80	$17.67	$27.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $49.80 / $103.79	Facility		$15.83	$49.80	$103.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $18.45 / $32.52	Professional		$14.46	$18.45	$32.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $13.36 / $22.65	Professional		$10.42	$13.36	$22.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $13,785.00 / $13,785.00	Facility		$15.86	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $15.86 / $21.75	Professional		$15.86	$15.86	$21.75
United Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Facility		$12.46	$12.46	$12.46
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $13.59 / $33.56	Professional		$9.51	$13.59	$33.56