Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.50	Professional		$2.49	$2.49	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $12.52 / $13.79	Facility		$2.49	$12.52	$13.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.81	Professional		$2.49	$2.49	$2.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.49 / $3.17	Professional		$2.47	$2.49	$3.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $8,702.00 / $13,785.00	Facility		$9.09	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $9.09 / $10.14	Professional		$8.97	$9.09	$10.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.84	Professional		$2.49	$2.49	$2.84