Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $109.65	Facility		$39.81	$47.86	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $42.66	Professional		$28.84	$30.90	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $34.67	Facility		$26.92	$31.62	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $39.81	Professional		$31.62	$31.62	$39.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $11,481.54 / $25,118.86	Facility		$85.11	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $39.81 / $64.57	Facility		$28.84	$39.81	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $35.48	Professional		$30.90	$32.36	$35.48