Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $45.66 / $208.95	Facility		$20.32	$45.66	$208.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $21.92 / $32.02	Professional		$19.88	$21.92	$32.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $80.83 / $167.39	Facility		$25.52	$80.83	$167.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $20.69 / $42.13	Professional		$17.48	$20.69	$42.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $20.09 / $29.22	Professional		$14.61	$20.09	$29.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $8,702.00 / $13,785.00	Facility		$25.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $25.57 / $25.57	Professional		$25.57	$25.57	$25.57
United Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $21.92 / $39.45	Professional		$14.14	$21.92	$39.45