Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $33.11	Professional		$14.13	$23.99	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $53.70 / $81.28	Professional		$13.80	$53.70	$81.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $9,772.37 / $16,218.10	Facility		$2,187.76	$9,772.37	$16,218.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $30.90	Professional		$15.14	$17.78	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $18.62 / $38.02	Professional		$2.29	$18.62	$38.02