Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $30.95 / $113.97	Facility		$14.69	$30.95	$113.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $20.99 / $25.56	Professional		$14.70	$20.99	$25.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $59.18 / $123.31	Facility		$26.31	$59.18	$123.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $25.78 / $54.66	Professional		$15.21	$25.78	$54.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $28.26 / $49.03	Professional		$18.84	$28.26	$49.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $8,702.00 / $13,785.00	Facility		$18.84	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $18.84	Professional		$18.84	$18.84	$18.84
United Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $14.80 / $14.80	Facility		$14.80	$14.80	$14.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $17.48 / $33.64	Professional		$11.72	$17.48	$33.64