Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $125.89	Facility		$25.70	$38.90	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $33.11	Professional		$14.13	$16.98	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $43.65 / $91.20	Facility		$19.50	$43.65	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.38 / $44.67	Professional		$13.49	$21.38	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.95 / $28.84	Professional		$9.33	$19.95	$28.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $10,471.29 / $25,118.86	Facility		$19.95	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $22.39	Professional		$15.85	$18.62	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.95 / $40.74	Facility		$9.33	$19.95	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $27.54	Professional		$8.51	$12.02	$27.54