Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $288.40 / $588.84	Facility		$10.96	$288.40	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $15.85	Professional		$10.96	$10.96	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.80 / $18.20	Facility		$11.22	$13.80	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $12.88	Professional		$11.75	$11.75	$12.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $181.97	Professional		$13.49	$13.49	$181.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $9,120.11 / $23,988.33	Facility		$32.36	$9,120.11	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $36.31 / $125.89	Professional		$12.02	$36.31	$125.89