Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $48.98	Professional		$30.20	$37.15	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $269.15	Professional		$15.49	$19.05	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $50.12	Professional		$21.38	$27.54	$50.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $389.05 / $25,118.86	Facility		$48.98	$389.05	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $120.23	Professional		$42.66	$57.54	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $154.88	Facility		$72.44	$128.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $109.65	Professional		$21.88	$54.95	$109.65