Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $40.40 / $81.56	Facility		$30.78	$40.40	$81.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $33.85	Professional		$30.78	$30.78	$33.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $37.65 / $48.73	Facility		$30.78	$37.65	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $31.94	Professional		$30.78	$30.78	$31.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.02	Professional		$30.78	$30.78	$38.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.97 / $112.78 / $13,785.00	Facility		$52.97	$112.78	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $31.07 / $31.96	Professional		$31.07	$31.07	$31.96
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.47 / $36.63	Professional		$30.78	$32.47	$36.63