Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $45.57 / $67.67	Facility		$45.57	$45.57	$67.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $43.31 / $69.18	Professional		$37.10	$43.31	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.87 / $116.09	Professional		$32.34	$64.87	$116.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $61.41 / $73.03	Professional		$44.65	$61.41	$73.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.74 / $1,062.86 / $2,304.83	Facility		$857.74	$1,062.86	$2,304.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $43.17 / $72.12	Professional		$33.67	$43.17	$72.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $48.24 / $90.60	Professional		$30.88	$48.24	$90.60