Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $35.25 / $265.86	Facility		$25.20	$35.25	$265.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $29.49	Professional		$25.20	$25.20	$29.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $30.03 / $38.86	Facility		$25.20	$30.03	$38.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $26.16	Professional		$25.20	$25.20	$26.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $27.34 / $37.47	Professional		$26.16	$27.34	$37.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $8,702.00 / $13,785.00	Facility		$24.62	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $24.62 / $29.02	Professional		$23.50	$24.62	$29.02
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.59 / $30.24	Professional		$25.20	$26.59	$30.24