Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.62	Professional		$12.49	$12.49	$12.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $10.66 / $12.49	Facility		$8.24	$10.66	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.14	Professional		$12.49	$12.49	$14.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $16.50	Professional		$12.49	$12.49	$16.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $8,702.00 / $13,785.00	Facility		$12.53	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $12.99	Professional		$12.53	$12.53	$12.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.27	Professional		$12.49	$12.49	$14.27