Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $5.63 / $24.11	Facility		$2.23	$5.63	$24.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.19 / $5.14	Professional		$2.23	$3.19	$5.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $10.10 / $21.49	Facility		$3.27	$10.10	$21.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.60 / $6.71	Professional		$2.70	$3.60	$6.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.58 / $3.75	Professional		$1.88	$2.58	$3.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $6,950.00 / $13,785.00	Facility		$3.28	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.28 / $3.28	Professional		$2.77	$3.28	$3.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.81 / $4.30	Professional		$1.82	$2.81	$4.30