Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $107.72 / $217.45	Facility		$81.90	$107.72	$217.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $90.09	Professional		$81.90	$81.90	$90.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $84.24 / $109.01	Facility		$81.90	$84.24	$109.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $84.99	Professional		$81.90	$81.90	$84.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $88.85 / $104.39	Professional		$84.99	$88.85	$104.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.65 / $8,702.00 / $13,785.00	Facility		$162.65	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $78.84 / $82.86	Professional		$74.64	$78.84	$82.86
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.40 / $97.64	Professional		$81.90	$86.40	$97.64