Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $109.85 / $282.22	Facility		$89.31	$109.85	$282.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $87.21 / $89.31	Professional		$72.50	$87.21	$89.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $89.31 / $108.91	Facility		$84.16	$89.31	$108.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $375.43 / $13,785.00	Facility		$87.21	$375.43	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $89.31 / $89.31	Professional		$87.55	$89.31	$89.31
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $92.38 / $105.07	Professional		$87.56	$92.38	$105.07