Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.67 / $34.67	Facility		$33.11	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $35.48	Professional		$16.98	$19.95	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $1,202.26 / $1,445.44	Facility		$30.20	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $58.88	Professional		$19.95	$33.88	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $32.36	Professional		$19.05	$22.91	$32.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,513.56 / $2,290.87	Facility		$870.96	$1,513.56	$2,290.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $57.54	Professional		$14.79	$21.38	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,548.82	Facility		$724.44	$1,288.25	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $43.65	Professional		$12.88	$22.39	$43.65