Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $38.47 / $72.22	Facility		$23.88	$38.47	$72.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $32.00	Professional		$23.88	$23.88	$32.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $64.26 / $83.16	Facility		$23.88	$64.26	$83.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $25.90	Professional		$23.88	$23.88	$25.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $25.90 / $35.85	Professional		$24.78	$25.90	$35.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $64.14 / $13,785.00	Facility		$45.28	$64.14	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $30.72 / $47.28	Professional		$28.74	$30.72	$47.28
United Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $29.19 / $29.19	Facility		$29.19	$29.19	$29.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.19 / $29.85	Professional		$23.88	$25.19	$29.85