Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $20.52 / $76.92	Facility		$13.89	$20.52	$76.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $14.57 / $20.60	Professional		$10.99	$14.57	$20.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $22.29 / $47.25	Professional		$12.70	$22.29	$47.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.25 / $27.14	Professional		$16.98	$22.25	$27.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.69 / $442.56 / $1,060.57	Facility		$394.69	$442.56	$1,060.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $16.35 / $28.22	Professional		$10.29	$16.35	$28.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $21.89 / $35.53	Professional		$14.28	$21.89	$35.53