Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $64.81 / $295.68	Facility		$36.17	$64.81	$295.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $55.35 / $86.65	Professional		$30.50	$55.35	$86.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $70.90 / $160.44	Professional		$35.26	$70.90	$160.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $91.43 / $106.95	Professional		$55.64	$91.43	$106.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.05 / $584.27 / $1,145.95	Facility		$521.05	$584.27	$1,145.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $61.78 / $113.97	Professional		$31.69	$61.78	$113.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,395.00 / $2,626.00 / $5,864.00	Facility		$1,395.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $86.64 / $180.01	Professional		$52.66	$86.64	$180.01