Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $36.79 / $171.14	Facility		$17.32	$36.79	$171.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $21.62 / $26.80	Professional		$16.64	$21.62	$26.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $65.68 / $137.10	Facility		$20.91	$65.68	$137.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $27.10 / $44.33	Professional		$14.65	$27.10	$44.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.64 / $25.32	Professional		$13.76	$17.64	$25.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $8,702.00 / $13,785.00	Facility		$20.94	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.94 / $20.94	Professional		$14.25	$20.94	$20.94
United Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $16.46 / $30.00	Facility		$16.46	$16.46	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $17.95 / $33.21	Professional		$11.09	$17.95	$33.21