Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $97.72	Facility		$19.95	$30.20	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $28.18	Professional		$10.96	$14.13	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $34.67 / $72.44	Facility		$15.49	$34.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $22.91	Professional		$10.23	$15.14	$22.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $17.78	Professional		$6.31	$7.94	$17.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $10,471.29 / $25,118.86	Facility		$15.85	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $17.78	Professional		$13.80	$14.45	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $15.85 / $32.36	Facility		$7.41	$15.85	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.33 / $22.91	Professional		$6.31	$9.33	$22.91