Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $35.48	Professional		$15.14	$19.95	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $40.74	Professional		$12.59	$22.91	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $39.81	Professional		$19.95	$30.90	$39.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $13,803.84 / $19,498.45	Facility		$144.54	$13,803.84	$19,498.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $51.29	Professional		$17.78	$30.20	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.05 / $33.11	Professional		$10.23	$19.05	$33.11