Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.72 / $150.19	Facility		$15.49	$38.72	$150.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.38 / $27.76	Professional		$15.49	$23.38	$27.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $64.23 / $133.90	Facility		$28.56	$64.23	$133.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $29.86 / $62.50	Professional		$16.69	$29.86	$62.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $30.68 / $42.37	Professional		$20.45	$30.68	$42.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $8,702.00 / $13,785.00	Facility		$20.45	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $20.45 / $20.45	Professional		$20.45	$20.45	$20.45
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $17.53 / $30.87	Professional		$12.27	$17.53	$30.87