Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $42.13 / $164.95	Facility		$9.83	$42.13	$164.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $15.05 / $28.09	Professional		$9.83	$15.05	$28.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $77.23 / $160.88	Facility		$24.53	$77.23	$160.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.03 / $40.47	Professional		$10.80	$13.03	$40.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $18.98 / $21.07	Professional		$14.04	$18.98	$21.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.58 / $13,785.00 / $13,785.00	Facility		$24.58	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $24.58 / $24.58	Professional		$16.14	$24.58	$24.58
United Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.98 / $19.30	Facility		$11.53	$11.98	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $19.00 / $24.89	Professional		$12.29	$19.00	$24.89