Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $177.83	Facility		$38.02	$43.65	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $28.84	Professional		$19.05	$23.99	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $134.90	Facility		$33.88	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $64.57	Professional		$30.90	$39.81	$64.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $9,549.93 / $25,118.86	Facility		$29.51	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $30.20	Professional		$23.44	$28.18	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $60.26	Facility		$13.80	$29.51	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $33.88	Professional		$11.75	$17.78	$33.88