Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $30.64 / $125.98	Facility		$18.96	$30.64	$125.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $21.36 / $28.62	Professional		$15.21	$21.36	$28.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $54.13 / $112.31	Facility		$17.13	$54.13	$112.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $20.14 / $35.11	Professional		$15.73	$20.14	$35.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.48 / $19.61	Professional		$9.80	$13.48	$19.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $8,702.00 / $13,785.00	Facility		$17.16	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $17.16 / $23.53	Professional		$17.16	$17.16	$23.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.71 / $34.22	Professional		$10.29	$14.71	$34.22