Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $53.27	Facility		$33.31	$33.31	$53.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $32.53 / $33.31	Professional		$31.35	$32.53	$33.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $138.19 / $178.84	Facility		$33.31	$138.19	$178.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $69.09	Professional		$69.09	$69.09	$69.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,785.00 / $13,785.00 / $13,785.00	Facility		$13,785.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $69.09 / $69.09	Professional		$31.48	$69.09	$69.09
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $34.65	Professional		$32.65	$32.65	$34.65