Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.50 / $89.13	Facility		$19.05	$19.50	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $14.13	Professional		$7.94	$12.02	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $32.36 / $67.61	Facility		$16.98	$32.36	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $32.36	Professional		$15.49	$19.95	$32.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $9,549.93 / $25,118.86	Facility		$14.79	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $15.14	Professional		$11.75	$14.45	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $14.79 / $30.20	Facility		$6.92	$14.79	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.91 / $15.49	Professional		$6.17	$8.91	$15.49