Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $42.53 / $125.78	Facility		$17.01	$42.53	$125.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $17.01 / $26.30	Professional		$16.32	$17.01	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $48.36 / $100.77	Facility		$15.36	$48.36	$100.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $18.02 / $31.49	Professional		$14.14	$18.02	$31.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.97 / $21.99	Professional		$10.11	$12.97	$21.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $13,785.00 / $13,785.00	Facility		$15.39	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $20.21	Professional		$15.39	$15.39	$20.21
United Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $15.09 / $15.68	Facility		$7.70	$15.09	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.19 / $32.57	Professional		$9.24	$13.19	$32.57