Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $62.50 / $220.16	Facility		$50.31	$62.50	$220.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.72 / $212.83 / $247.90	Professional		$177.72	$212.83	$247.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $27.64 / $71.04	Facility		$20.62	$27.64	$71.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,960.00 / $1,960.00 / $1,960.00	Professional		$1,960.00	$1,960.00	$1,960.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $7,628.00	Facility		$5.00	$5.00	$7,628.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $19.00	Professional		$4.78	$4.78	$19.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $44.63 / $44.63	Professional		$44.63	$44.63	$44.63