Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $28.31 / $107.25	Facility		$14.51	$28.31	$107.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $16.11 / $17.00	Professional		$14.52	$16.11	$17.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $41.14 / $85.92	Facility		$13.10	$41.14	$85.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.27 / $26.85	Professional		$12.07	$15.27	$26.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $11.06 / $18.75	Professional		$8.63	$11.06	$18.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13,785.00 / $13,785.00	Facility		$13.13	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $13.13 / $17.23	Professional		$13.13	$13.13	$17.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.25 / $26.21	Professional		$7.50	$11.25	$26.21