Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $37.08 / $74.84	Facility		$28.52	$37.08	$74.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $31.37	Professional		$28.52	$28.52	$31.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $32.63 / $42.23	Facility		$28.52	$32.63	$42.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $29.59	Professional		$28.52	$28.52	$29.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $38.38	Professional		$28.52	$28.52	$38.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $104.50 / $13,785.00	Facility		$47.51	$104.50	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $32.61	Professional		$32.61	$32.61	$32.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $30.09 / $34.22	Professional		$28.52	$30.09	$34.22