Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $123.03	Facility		$25.12	$38.02	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $38.02	Professional		$14.13	$18.20	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $43.65 / $89.13	Facility		$19.05	$43.65	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $30.20	Professional		$12.88	$19.95	$30.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $21.88	Professional		$7.76	$9.77	$21.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $10,471.29 / $25,118.86	Facility		$19.50	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $21.88	Professional		$13.80	$20.42	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $19.50 / $39.81	Facility		$9.12	$19.50	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.75 / $28.84	Professional		$7.76	$11.75	$28.84