Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $41.69	Professional		$21.88	$30.20	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $51.29	Professional		$28.18	$38.02	$51.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $9,332.54 / $25,703.96	Facility		$33.88	$9,332.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $50.12	Professional		$24.55	$28.18	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $60.26	Professional		$20.42	$31.62	$60.26