Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $102.39 / $500.69	Facility		$82.07	$102.39	$500.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $89.46	Professional		$82.08	$82.08	$89.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $82.84 / $107.21	Facility		$82.07	$82.84	$107.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $85.17	Professional		$82.07	$82.07	$85.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $100.14	Professional		$82.07	$82.07	$100.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $348.22 / $13,785.00	Facility		$76.53	$348.22	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $76.53 / $81.91	Professional		$72.88	$76.53	$81.91
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $86.18 / $93.77	Professional		$82.08	$86.18	$93.77