Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Facility		$2.54	$2.54	$2.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.57	Professional		$2.54	$2.54	$2.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.27 / $3.80	Facility		$2.54	$3.27	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.88	Professional		$2.54	$2.54	$2.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.54 / $3.60	Professional		$2.52	$2.54	$3.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.54 / $2.54	Professional		$2.49	$2.54	$2.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.75	Professional		$2.54	$2.54	$2.75