Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $13.80 / $58.88	Facility		$12.30	$13.80	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $13.80	Professional		$5.01	$7.08	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $20.89 / $43.65	Facility		$9.33	$20.89	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $13.80	Professional		$4.79	$6.92	$13.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $7.94	Professional		$3.80	$4.79	$7.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10,471.29 / $25,118.86	Facility		$9.55	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.76 / $8.32	Professional		$6.46	$6.76	$8.32
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $9.55 / $19.50	Facility		$4.47	$9.55	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.75 / $10.47	Professional		$3.72	$5.75	$10.47