Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $11.97 / $30.75	Facility		$10.67	$11.97	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $13.14	Professional		$10.68	$10.68	$13.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $26.97 / $34.90	Facility		$10.68	$26.97	$34.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $11.08	Professional		$10.68	$10.68	$11.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $11.58 / $14.45	Professional		$11.08	$11.58	$14.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $21.08 / $13,785.00	Facility		$10.19	$21.08	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.19 / $18.18	Professional		$9.73	$10.19	$18.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.27 / $12.82	Professional		$10.68	$11.27	$12.82