Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $38.20	Facility		$38.20	$38.20	$38.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $37.29 / $38.20	Professional		$31.01	$37.29	$38.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $24.62 / $44.94	Facility		$19.02	$24.62	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $50.88	Professional		$44.94	$44.94	$50.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $50.99	Professional		$44.94	$44.94	$50.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $8,702.00 / $13,785.00	Facility		$32.03	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $44.94 / $44.94	Professional		$27.82	$44.94	$44.94
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $53.74	Professional		$50.94	$50.94	$53.74