Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.86 / $101.91	Facility		$9.85	$9.86	$101.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $17.95 / $23.89	Professional		$9.86	$17.95	$23.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $53.41 / $91.97	Facility		$47.79	$53.41	$91.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $15.28 / $40.02	Professional		$9.30	$15.28	$40.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $19.84 / $36.22	Professional		$15.79	$19.84	$36.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $347.30 / $13,785.00	Facility		$19.88	$347.30	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $38.78 / $70.22	Professional		$27.55	$38.78	$70.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $13.41 / $20.82	Professional		$7.32	$13.41	$20.82