Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $125.89	Facility		$33.11	$33.11	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $37.15	Professional		$19.05	$25.70	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $83.18	Facility		$50.12	$72.44	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $54.95	Professional		$12.30	$20.89	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $33.88	Professional		$16.60	$16.60	$33.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $9,332.54 / $25,118.86	Facility		$117.49	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $112.20	Professional		$37.15	$52.48	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $34.67 / $74.13	Facility		$15.85	$34.67	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.38 / $26.30	Professional		$10.23	$17.38	$26.30