Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $48.17 / $97.23	Facility		$36.67	$48.17	$97.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $43.72	Professional		$36.67	$36.67	$43.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $47.33 / $61.25	Facility		$34.59	$47.33	$61.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $38.04	Professional		$36.67	$36.67	$38.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $39.78 / $55.04	Professional		$38.04	$39.78	$55.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $39.43 / $46.58	Professional		$37.04	$39.43	$46.58
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $38.69 / $44.94	Professional		$36.67	$38.69	$44.94