Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $39.10 / $115.66	Facility		$15.64	$39.10	$115.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $15.77 / $24.18	Professional		$15.01	$15.77	$24.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $44.75 / $92.66	Facility		$14.13	$44.75	$92.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $16.54 / $29.43	Professional		$13.03	$16.54	$29.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $11.12 / $16.18	Professional		$8.09	$11.12	$16.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $13,785.00 / $13,785.00	Facility		$14.15	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $14.15 / $14.15	Professional		$14.15	$14.15	$14.15
United Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $18.20 / $24.26	Facility		$11.12	$18.20	$24.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $12.13 / $28.24	Professional		$8.49	$12.13	$28.24