Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Facility		$32.36	$33.11	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $25.12	Professional		$15.14	$19.95	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $114.82	Facility		$28.84	$54.95	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $53.70	Professional		$26.30	$33.11	$53.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $9,549.93 / $25,118.86	Facility		$25.12	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $25.70	Professional		$19.95	$21.88	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $25.12 / $51.29	Facility		$11.75	$25.12	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $26.30	Professional		$10.00	$15.14	$26.30