Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.63 / $39.08 / $198.29	Facility		$15.63	$39.08	$198.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.63 / $24.16	Professional		$15.00	$15.63	$24.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $44.75 / $92.56	Facility		$14.12	$44.75	$92.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $16.54 / $28.91	Professional		$13.03	$16.54	$28.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $11.92 / $20.20	Professional		$9.28	$11.92	$20.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $8,702.00 / $13,785.00	Facility		$14.14	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $14.14	Professional		$14.14	$14.14	$14.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $12.12 / $29.93	Professional		$7.82	$12.12	$29.93