Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $7.45 / $15.04	Facility		$5.73	$7.45	$15.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.30	Professional		$5.73	$5.73	$6.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.72 / $8.69	Facility		$5.73	$6.72	$8.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.95	Professional		$5.73	$5.73	$5.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $6.22 / $6.99	Professional		$5.95	$6.22	$6.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $24.31 / $13,785.00	Facility		$9.86	$24.31	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.95	Professional		$5.73	$5.73	$5.95
United Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $11.38 / $11.65	Facility		$5.73	$11.38	$11.65
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.02 / $6.49	Professional		$5.73	$6.02	$6.49