Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $23.81 / $24.39	Professional		$19.80	$23.81	$24.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $13.20 / $24.39	Facility		$10.19	$13.20	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $24.38 / $24.38	Professional		$17.55	$24.38	$24.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $8,702.00 / $13,785.00	Facility		$23.80	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $24.38 / $24.38	Professional		$16.91	$24.38	$24.38
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $30.27	Professional		$28.69	$28.69	$30.27