Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $50.43 / $149.12	Facility		$20.17	$50.43	$149.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $22.16 / $31.18	Professional		$19.35	$22.16	$31.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $57.74 / $119.46	Facility		$25.56	$57.74	$119.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $30.33 / $81.37	Professional		$17.53	$30.33	$81.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $27.37 / $37.79	Professional		$18.25	$27.37	$37.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $8,702.00 / $13,785.00	Facility		$18.25	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $18.25 / $18.25	Professional		$18.25	$18.25	$18.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $31.28	Professional		$10.95	$15.64	$31.28