Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $38.78 / $160.47	Facility		$15.51	$38.78	$160.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.99 / $29.66	Professional		$14.89	$23.99	$29.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $68.56 / $143.06	Facility		$30.52	$68.56	$143.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $27.98 / $56.29	Professional		$16.05	$27.98	$56.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $32.78 / $45.27	Professional		$21.85	$32.78	$45.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $13,785.00 / $13,785.00	Facility		$21.85	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $21.85 / $21.85	Professional		$21.85	$21.85	$21.85
United Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $28.10 / $37.46	Facility		$17.17	$28.10	$37.46
United Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $18.73 / $31.36	Professional		$13.11	$18.73	$31.36