Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $15.23 / $15.23	Facility		$15.23	$15.23	$15.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $20.38 / $26.87	Professional		$15.23	$20.38	$26.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $29.64 / $44.74	Facility		$26.05	$29.64	$44.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $53.25	Professional		$21.64	$21.64	$53.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $41.16 / $58.61	Professional		$40.86	$41.16	$58.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,080.00 / $1,641.00	Facility		$1,080.00	$1,080.00	$1,641.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $44.74 / $44.74	Professional		$43.70	$44.74	$44.74
United Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $23.01 / $41.08	Professional		$20.17	$23.01	$41.08