Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $38.02 / $219.55	Facility		$17.30	$38.02	$219.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $18.04 / $26.74	Professional		$16.61	$18.04	$26.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $51.24 / $105.99	Facility		$22.61	$51.24	$105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $25.38 / $42.29	Professional		$14.61	$25.38	$42.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $13.65 / $23.13	Professional		$10.64	$13.65	$23.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $8,702.00 / $13,785.00	Facility		$16.19	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Professional		$16.19	$16.19	$16.19
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.88 / $31.24	Professional		$9.71	$13.88	$31.24