Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $40.54 / $146.49	Facility		$16.22	$40.54	$146.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $18.76 / $31.46	Professional		$6.49	$18.76	$31.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $62.79 / $130.60	Facility		$19.91	$62.79	$130.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $21.63 / $40.78	Professional		$16.84	$21.63	$40.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $15.68 / $22.80	Professional		$11.56	$15.68	$22.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $13,785.00 / $13,785.00	Facility		$19.95	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $17.10 / $31.05	Professional		$11.03	$17.10	$31.05