Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $54.95	Professional		$25.70	$38.90	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $269.15	Professional		$15.49	$19.05	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $50.12	Professional		$21.38	$27.54	$50.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $295.12 / $25,118.86	Facility		$36.31	$295.12	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $114.82	Professional		$42.66	$57.54	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $245.47	Facility		$112.20	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $53.70 / $109.65	Professional		$13.18	$53.70	$109.65