Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.19	Professional		$10.09	$10.09	$10.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $57.65 / $74.59	Facility		$10.09	$57.65	$74.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $11.42	Professional		$10.09	$10.09	$11.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $10.09 / $14.28	Professional		$9.52	$10.09	$14.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $13,785.00 / $13,785.00	Facility		$32.36	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $12.13 / $14.26	Professional		$11.74	$12.13	$14.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $10.09 / $11.10	Professional		$9.59	$10.09	$11.10