Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $25.70 / $112.20	Facility		$23.44	$25.70	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $25.70	Professional		$10.00	$14.13	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $40.74 / $83.18	Facility		$17.78	$40.74	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $25.70	Professional		$8.91	$12.88	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $14.79	Professional		$7.24	$9.12	$14.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $9,549.93 / $25,118.86	Facility		$18.20	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $16.22	Professional		$12.02	$12.59	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $18.20 / $37.15	Facility		$8.51	$18.20	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $19.05	Professional		$7.08	$10.96	$19.05