Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $144.15 / $260.29	Facility		$69.73	$144.15	$260.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $70.43	Professional		$69.73	$69.73	$70.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $116.81 / $151.16	Facility		$69.73	$116.81	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $87.43 / $124.53	Professional		$75.65	$87.43	$124.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $13,785.00 / $13,785.00	Facility		$79.50	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $85.48 / $97.40	Professional		$54.19	$85.48	$97.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $139.76	Professional		$27.89	$69.73	$139.76