Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $33.28 / $103.18	Facility		$13.31	$33.28	$103.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.62 / $20.09	Professional		$12.77	$14.62	$20.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.25 / $78.81	Facility		$12.02	$38.25	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $13.99 / $24.78	Professional		$11.12	$13.99	$24.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $9.46 / $13.76	Professional		$6.88	$9.46	$13.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $13,785.00 / $13,785.00	Facility		$12.04	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $15.81	Professional		$12.04	$12.04	$15.81
United Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $10.32 / $24.78	Professional		$6.66	$10.32	$24.78