Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $37.79 / $80.62	Facility		$30.72	$37.79	$80.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $30.00 / $30.72	Professional		$24.94	$30.00	$30.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $36.00 / $39.60	Facility		$30.60	$36.00	$39.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
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 $30.72 / $30.72 / $32.53	Professional		$30.72	$30.72	$32.53
United Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $50.96 / $50.96	Facility		$50.96	$50.96	$50.96
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.65 / $36.00	Professional		$30.00	$31.65	$36.00