Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $67.88 / $131.61	Facility		$44.82	$67.88	$131.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $63.79 / $65.33	Professional		$61.49	$63.79	$65.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $84.55	Facility		$65.33	$65.33	$84.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $16.34 / $16.34	Professional		$16.34	$16.34	$16.34
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 $16.34 / $16.34 / $24.70	Professional		$16.34	$16.34	$24.70
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $73.17	Professional		$64.05	$64.05	$73.17