Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $107.54 / $868.02	Facility		$19.95	$107.54	$868.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $32.88 / $60.60	Professional		$22.90	$32.88	$60.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $40.00 / $88.38	Professional		$14.96	$40.00	$88.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $70.48 / $77.56	Professional		$51.99	$70.48	$77.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.50 / $971.34 / $1,852.45	Facility		$935.50	$971.34	$1,852.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $51.13 / $86.48	Professional		$39.36	$51.13	$86.48
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $44.79 / $63.55	Professional		$31.11	$44.79	$63.55