Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $144.54	Facility		$28.84	$43.65	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $40.74	Professional		$15.85	$19.95	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $104.71	Facility		$22.39	$50.12	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.39 / $32.36	Professional		$14.79	$22.39	$32.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $25.70	Professional		$9.12	$11.22	$25.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $10,471.29 / $25,118.86	Facility		$22.91	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $25.12	Professional		$19.95	$20.89	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $22.91 / $46.77	Facility		$10.72	$22.91	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.49 / $33.11	Professional		$9.12	$13.49	$33.11