Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $46.45 / $195.57	Facility		$18.57	$46.45	$195.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $23.01 / $29.80	Professional		$18.57	$23.01	$29.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $75.06 / $156.66	Facility		$23.89	$75.06	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $25.61 / $49.04	Professional		$16.53	$25.61	$49.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $18.80 / $27.35	Professional		$13.68	$18.80	$27.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $24.54 / $28.05	Professional		$23.49	$24.54	$28.05
United Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $18.80 / $35.00	Facility		$18.80	$18.80	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $20.51 / $35.94	Professional		$12.27	$20.51	$35.94