Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $363.08	Facility		$74.13	$112.20	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $107.15	Professional		$42.66	$48.98	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $144.54	Professional		$66.07	$83.18	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $66.07	Professional		$23.44	$28.84	$66.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $10,471.29 / $25,118.86	Facility		$57.54	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $64.57	Professional		$51.29	$53.70	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $57.54 / $120.23	Facility		$27.54	$57.54	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $85.11	Professional		$23.44	$34.67	$85.11