Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $39.18 / $40.11	Professional		$32.57	$39.18	$40.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $51.92	Facility		$40.11	$40.11	$51.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.22 / $6.22	Professional		$5.29	$6.22	$6.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $13,785.00 / $13,785.00	Facility		$6.08	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $6.22	Professional		$6.22	$6.22	$6.22
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $47.20	Professional		$39.33	$39.33	$47.20