Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $57.40 / $169.77	Facility		$22.96	$57.40	$169.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $23.15 / $31.33	Professional		$22.03	$23.15	$31.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $65.68 / $136.00	Facility		$20.74	$65.68	$136.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $24.38 / $42.85	Professional		$19.07	$24.38	$42.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.32 / $23.74	Professional		$11.87	$16.32	$23.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $13,785.00 / $13,785.00	Facility		$20.78	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $20.78 / $27.28	Professional		$20.78	$20.78	$27.28
United Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $29.68 / $60.92	Facility		$13.95	$29.68	$60.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $17.80 / $41.47	Professional		$11.49	$17.80	$41.47