Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $23.81 / $129.12	Facility		$12.21	$23.81	$129.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $22.55 / $30.26	Professional		$12.21	$22.55	$30.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.17 / $67.84 / $115.93	Facility		$61.17	$67.84	$115.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.30 / $48.12	Professional		$10.56	$19.30	$48.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $13.24 / $28.58	Professional		$10.53	$13.24	$28.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $416.61 / $13,785.00	Facility		$26.45	$416.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $48.30 / $89.20	Professional		$32.78	$48.30	$89.20
United Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $17.04 / $30.68	Professional		$9.02	$17.04	$30.68