Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $330.95 / $944.54	Facility		$52.03	$330.95	$944.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $48.10 / $83.87	Professional		$43.53	$48.10	$83.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $79.20 / $147.11	Professional		$54.78	$79.20	$147.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $76.17 / $93.38	Professional		$60.55	$76.17	$93.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $57.07 / $103.70	Professional		$42.20	$57.07	$103.70
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 $39.32 / $57.56 / $108.38	Professional		$39.32	$57.56	$108.38