Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $36.08 / $161.69	Facility		$18.50	$36.08	$161.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.94 / $29.67	Professional		$18.50	$20.94	$29.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $62.07 / $129.54	Facility		$27.63	$62.07	$129.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $31.02	Professional		$14.86	$14.86	$31.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.14 / $16.96	Professional		$11.31	$14.14	$16.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $8,702.00 / $13,785.00	Facility		$1,165.00	$8,702.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $16.96 / $32.04	Professional		$11.31	$16.96	$32.04