Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Facility		$16.45	$16.45	$16.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $16.13 / $25.32	Professional		$13.52	$16.13	$25.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $28.43	Professional		$20.14	$20.14	$28.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
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 $34.65 / $39.96 / $47.01	Professional		$34.65	$39.96	$47.01
United Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $20.21 / $30.77	Professional		$17.17	$20.21	$30.77