Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $55.04 / $55.04	Facility		$55.04	$55.04	$55.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $40.44 / $55.04	Professional		$26.37	$40.44	$55.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $270.27 / $270.27	Professional		$62.09	$270.27	$270.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $22.75 / $48.33	Professional		$17.09	$22.75	$48.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $139.08 / $4,207.00	Facility		$25.70	$139.08	$4,207.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $50.22 / $86.58	Professional		$40.70	$50.22	$86.58
United Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $59.48 / $112.74	Professional		$23.71	$59.48	$112.74