Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $41.69 / $186.21	Facility		$39.81	$41.69	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $36.31	Professional		$16.98	$25.12	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $69.18 / $144.54	Facility		$30.90	$69.18	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $47.86	Professional		$16.60	$36.31	$47.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $18.62	Professional		$12.59	$14.79	$18.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $9,332.54 / $25,703.96	Facility		$31.62	$9,332.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $28.18	Professional		$18.62	$25.12	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $31.62 / $64.57	Facility		$14.79	$31.62	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $32.36	Professional		$12.59	$18.62	$32.36