Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $9.52 / $39.78	Facility		$4.04	$9.52	$39.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.68 / $6.26	Professional		$3.89	$4.68	$6.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $17.32 / $35.47	Facility		$5.41	$17.32	$35.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.24 / $11.36	Professional		$3.42	$4.24	$11.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.26 / $5.91	Professional		$3.10	$4.26	$5.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $13,785.00 / $13,785.00	Facility		$5.42	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $5.42 / $5.42	Professional		$5.42	$5.42	$5.42
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $4.63 / $7.83	Professional		$2.71	$4.63	$7.83