Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $29.91 / $157.19	Facility		$25.76	$29.91	$157.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $28.96	Professional		$25.77	$25.77	$28.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $38.72 / $50.11	Facility		$25.77	$38.72	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $23.28 / $42.06	Professional		$23.28	$23.28	$42.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $109.33 / $13,785.00	Facility		$26.94	$109.33	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $32.24	Professional		$21.62	$21.62	$32.24
United Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $32.86 / $55.19	Facility		$32.86	$32.86	$55.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.23 / $30.72	Professional		$25.77	$27.23	$30.72