Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Facility		$26.94	$26.94	$26.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $27.21	Professional		$26.94	$26.94	$27.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $58.97 / $76.31	Facility		$26.94	$58.97	$76.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $30.05	Professional		$26.94	$26.94	$30.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $44.47	Professional		$26.94	$26.94	$44.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $8,702.00 / $13,785.00	Facility		$23.25	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $23.25 / $25.34	Professional		$23.25	$23.25	$25.34
United Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $35.72 / $35.72	Facility		$35.72	$35.72	$35.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $29.63	Professional		$26.94	$26.94	$29.63