Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $45.05 / $176.71	Facility		$23.10	$45.05	$176.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $23.10 / $34.06	Professional		$16.93	$23.10	$34.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $65.68 / $136.78	Facility		$20.86	$65.68	$136.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $24.38 / $42.85	Professional		$19.22	$24.38	$42.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $16.42 / $23.88	Professional		$11.94	$16.42	$23.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $8,702.00 / $13,785.00	Facility		$20.90	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $20.90 / $27.43	Professional		$20.90	$20.90	$27.43
United Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $17.91 / $32.24	Professional		$11.94	$17.91	$32.24