Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $23.03 / $84.55	Facility		$12.74	$23.03	$84.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.83 / $19.69	Professional		$12.21	$12.83	$19.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $36.09 / $75.38	Facility		$11.50	$36.09	$75.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.57 / $23.75	Professional		$10.49	$13.57	$23.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $9.71 / $16.45	Professional		$7.57	$9.71	$16.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $13,785.00 / $13,785.00	Facility		$11.52	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $11.52 / $15.12	Professional		$11.52	$11.52	$15.12
United Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $9.86 / $23.00	Professional		$6.58	$9.86	$23.00