Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $20.70 / $82.78	Facility		$5.94	$20.70	$82.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $82.78 / $82.78	Professional		$3.86	$82.78	$82.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $6.26 / $23.30	Facility		$4.84	$6.26	$23.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $5.25 / $6.56	Professional		$2.62	$5.25	$6.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.48 / $2.97	Professional		$1.98	$2.48	$2.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $8,702.00 / $13,785.00	Facility		$1,165.00	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.28 / $4.28	Professional		$4.28	$4.28	$4.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.97 / $5.61	Professional		$2.08	$2.97	$5.61