Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $36.60 / $108.17	Facility		$14.64	$36.60	$108.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.75 / $22.64	Professional		$14.04	$14.75	$22.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $41.86 / $86.65	Facility		$13.21	$41.86	$86.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.48 / $26.85	Professional		$12.07	$15.48	$26.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.16 / $18.91	Professional		$8.69	$11.16	$18.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13,785.00 / $13,785.00	Facility		$13.24	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $17.38	Professional		$13.24	$13.24	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $12.97 / $13.49	Facility		$6.62	$12.97	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $11.35 / $21.43	Professional		$7.35	$11.35	$21.43