Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $36.31 / $117.49	Facility		$23.99	$36.31	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $33.88	Professional		$14.13	$15.85	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $41.69 / $87.10	Facility		$18.62	$41.69	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $27.54	Professional		$12.30	$18.62	$27.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $21.38	Professional		$7.59	$9.55	$21.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $10,471.29 / $25,118.86	Facility		$19.05	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $21.38	Professional		$16.60	$17.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $19.05 / $38.90	Facility		$8.91	$19.05	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.48 / $27.54	Professional		$7.41	$11.48	$27.54