Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $107.15	Facility		$21.88	$54.95	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $30.90	Professional		$12.02	$15.14	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.02 / $79.43	Facility		$16.98	$38.02	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.60 / $24.55	Professional		$11.22	$16.60	$24.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.51 / $19.50	Professional		$6.92	$8.51	$19.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $10,471.29 / $25,118.86	Facility		$17.38	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $19.05	Professional		$15.14	$15.49	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $17.38 / $35.48	Facility		$8.13	$17.38	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.23 / $25.12	Professional		$6.61	$10.23	$25.12