Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $162.18	Facility		$33.11	$50.12	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $46.77	Professional		$19.05	$21.88	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $120.23	Facility		$30.20	$57.54	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $72.44	Professional		$17.38	$28.18	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $48.98	Professional		$18.20	$29.51	$48.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $9,332.54 / $25,118.86	Facility		$26.30	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $26.30	Professional		$20.89	$20.89	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $26.30 / $53.70	Facility		$12.30	$26.30	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $36.31	Professional		$10.72	$15.49	$36.31