Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $48.84 / $209.20	Facility		$16.80	$48.84	$209.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $31.75 / $38.67	Professional		$16.80	$31.75	$38.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $89.50 / $186.50	Facility		$39.79	$89.50	$186.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $40.77 / $83.66	Professional		$21.55	$40.77	$83.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $42.74 / $74.16	Professional		$28.49	$42.74	$74.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $13,785.00 / $13,785.00	Facility		$28.49	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Professional		$28.49	$28.49	$28.49
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $27.84 / $45.79	Professional		$14.26	$27.84	$45.79