Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $162.18	Facility		$26.92	$37.15	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $77.62	Professional		$16.98	$21.88	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $58.88 / $123.03	Facility		$30.90	$58.88	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $53.70	Professional		$15.14	$25.70	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $51.29	Professional		$19.05	$28.18	$51.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $10,471.29 / $25,118.86	Facility		$26.92	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $26.92	Professional		$21.38	$21.38	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.92 / $54.95	Facility		$12.59	$26.92	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $33.88	Professional		$11.75	$19.05	$33.88