Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $31.25 / $115.55	Facility		$12.50	$31.25	$115.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $17.53 / $44.96	Professional		$12.26	$17.53	$44.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $44.96 / $103.01	Facility		$15.71	$44.96	$103.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $12.70 / $29.40	Professional		$10.79	$12.70	$29.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.26 / $18.17	Professional		$10.34	$13.26	$18.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $6,950.00 / $13,785.00	Facility		$15.74	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $15.86	Professional		$15.74	$15.74	$15.86
United Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $22.48 / $46.14	Facility		$10.57	$22.48	$46.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $15.74 / $23.58	Professional		$9.56	$15.74	$23.58