Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $36.94 / $154.35	Facility		$15.50	$36.94	$154.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.42 / $28.53	Professional		$14.89	$23.42	$28.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $66.40 / $137.61	Facility		$29.35	$66.40	$137.61
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 $21.02 / $31.53 / $43.54	Professional		$21.02	$31.53	$43.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $8,702.00 / $13,785.00	Facility		$21.02	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $21.02 / $21.02	Professional		$21.02	$21.02	$21.02
United Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Facility		$16.52	$16.52	$16.52
United Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $17.55 / $30.63	Professional		$12.46	$17.55	$30.63