Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $19.14 / $46.52	Facility		$4.19	$19.14	$46.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $14.87	Professional		$4.19	$4.19	$14.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $52.37 / $151.10	Facility		$4.19	$52.37	$151.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $4.55	Professional		$4.19	$4.19	$4.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $5.67	Professional		$4.34	$4.34	$5.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $31.90 / $13,785.00	Facility		$16.01	$31.90	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $16.01 / $24.17	Professional		$14.72	$16.01	$24.17
United Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $64.94 / $79.00	Facility		$64.94	$64.94	$79.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.43 / $5.03	Professional		$4.19	$4.43	$5.03