Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $151.36	Facility		$41.69	$52.48	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $44.67	Professional		$30.20	$30.90	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $35.48	Facility		$26.92	$31.62	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $31.62	Professional		$26.92	$31.62	$31.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,309.57 / $13,803.84	Facility		$100.00	$6,309.57	$13,803.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $39.81	Professional		$38.02	$38.02	$39.81