Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $16.91 / $4,125.97	Facility		$12.28	$16.91	$4,125.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $14.51	Professional		$12.28	$12.28	$14.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $21.39 / $27.69	Facility		$12.28	$21.39	$27.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.75	Professional		$12.28	$12.28	$12.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $13.33 / $16.64	Professional		$12.75	$13.33	$16.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $8,702.00 / $13,785.00	Facility		$23.28	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.46 / $16.26	Professional		$13.09	$13.46	$16.26
United Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.98 / $14.61	Professional		$12.28	$12.98	$14.61