Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $25.64 / $125.04	Facility		$13.15	$25.64	$125.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $21.84 / $29.31	Professional		$13.15	$21.84	$29.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $65.68 / $124.74	Facility		$59.26	$65.68	$124.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $18.73 / $53.35	Professional		$11.45	$18.73	$53.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $9.44 / $20.41	Professional		$7.52	$9.44	$20.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $808.75 / $13,785.00	Facility		$24.44	$808.75	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $40.90 / $56.10	Professional		$29.44	$40.90	$56.10
United Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $59.97 / $59.97	Facility		$59.97	$59.97	$59.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $16.44 / $25.60	Professional		$9.98	$16.44	$25.60