Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $29.38 / $125.83	Facility		$10.19	$29.38	$125.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.81 / $19.57	Professional		$4.32	$11.81	$19.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $54.13 / $112.18	Facility		$17.11	$54.13	$112.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.81 / $30.53	Professional		$8.61	$10.81	$30.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $13.46 / $14.90	Professional		$9.78	$13.46	$14.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $8,702.00 / $13,785.00	Facility		$17.14	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $17.14 / $17.14	Professional		$11.98	$17.14	$17.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $14.69 / $19.73	Professional		$8.57	$14.69	$19.73