Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $57.21 / $128.69	Professional		$39.49	$57.21	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39,999.60 / $39,999.60 / $39,999.60	Professional		$39,999.60	$39,999.60	$39,999.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000,000.00 / $1,000,000.00 / $1,000,000.00	Professional		$1,000,000.00	$1,000,000.00	$1,000,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $85.42 / $85.42 / $85.42	Facility		$85.42	$85.42	$85.42
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $63.88	Professional		$60.55	$60.55	$63.88