Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $25.64 / $122.41	Facility		$13.15	$25.64	$122.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $24.31 / $32.49	Professional		$13.15	$24.31	$32.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $72.90 / $111.55	Facility		$65.63	$72.90	$111.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $20.78 / $51.75	Professional		$12.40	$20.78	$51.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $20.79 / $44.90	Professional		$16.54	$20.79	$44.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $144.41 / $13,785.00	Facility		$27.13	$144.41	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $49.82 / $71.58	Professional		$37.26	$49.82	$71.58
United Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.25 / $28.41	Professional		$10.23	$18.25	$28.41