Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $38.90 / $78.52	Facility		$26.51	$38.90	$78.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $33.40	Professional		$26.51	$26.51	$33.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $57.16 / $73.98	Facility		$26.51	$57.16	$73.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $26.51 / $43.27	Professional		$26.26	$26.51	$43.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $118.68 / $13,785.00	Facility		$33.09	$118.68	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $34.60 / $47.24	Professional		$34.60	$34.60	$47.24
United Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $71.14 / $71.14	Facility		$71.14	$71.14	$71.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $28.01 / $32.49	Professional		$26.51	$28.01	$32.49