Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $27.69 / $59.07	Facility		$22.51	$27.69	$59.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $22.51 / $22.51	Professional		$18.27	$22.51	$22.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $27.39 / $35.44	Facility		$22.51	$27.39	$35.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $22.29 / $28.54	Professional		$22.29	$22.29	$28.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $8,702.00 / $13,785.00	Facility		$47.20	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $22.29 / $22.59	Professional		$22.29	$22.29	$22.59
United Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $23.39 / $23.39	Facility		$23.39	$23.39	$23.39
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $23.28 / $26.48	Professional		$22.07	$23.28	$26.48