Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $4.55 / $7.32	Facility		$2.93	$4.55	$7.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.51	Professional		$2.93	$2.93	$3.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $4.01	Facility		$2.93	$2.93	$4.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.04	Professional		$2.93	$2.93	$3.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.17 / $3.96	Professional		$3.04	$3.17	$3.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,785.00 / $13,785.00 / $13,785.00	Facility		$13,785.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.99 / $3.20	Professional		$2.92	$2.99	$3.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.99	Professional		$2.93	$2.93	$3.99