Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $54.95	Professional		$25.70	$39.81	$54.95
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 $36.31 / $295.12 / $25,118.86	Facility		$36.31	$295.12	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $112.20	Professional		$42.66	$57.54	$112.20
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 $13.18 / $53.70 / $109.65	Professional		$13.18	$53.70	$109.65