Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $38.78 / $153.16	Facility		$15.51	$38.78	$153.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.24 / $28.31	Professional		$14.89	$23.24	$28.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $65.68 / $136.55	Facility		$29.13	$65.68	$136.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $27.20 / $56.29	Professional		$16.05	$27.20	$56.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $31.29 / $43.21	Professional		$20.86	$31.29	$43.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $13,785.00 / $13,785.00	Facility		$20.86	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $20.86	Professional		$20.86	$20.86	$20.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $17.88 / $35.76	Professional		$12.37	$17.88	$35.76