Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $46.80 / $192.50	Facility		$15.17	$46.80	$192.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $17.55 / $31.20	Professional		$14.56	$17.55	$31.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $85.89 / $178.71	Facility		$27.26	$85.89	$178.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $16.11 / $45.13	Professional		$12.81	$16.11	$45.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $22.14 / $27.36	Professional		$17.94	$22.14	$27.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $8,702.00 / $13,785.00	Facility		$27.30	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $27.30 / $27.30	Professional		$17.80	$27.30	$27.30
United Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $21.45 / $21.45	Facility		$21.45	$21.45	$21.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $22.79 / $29.34	Professional		$9.83	$22.79	$29.34