Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.67	Professional		$19.48	$19.48	$19.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $21.28 / $27.54	Facility		$19.48	$21.28	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $22.05	Professional		$19.48	$19.48	$22.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $30.00	Professional		$19.48	$19.48	$30.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $8,702.00 / $13,785.00	Facility		$24.90	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.06	Professional		$19.48	$19.48	$21.06