Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $73.84 / $144.00	Facility		$61.54	$73.84	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $61.54 / $61.54	Professional		$49.96	$61.54	$61.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $88.06 / $96.91	Facility		$61.54	$88.06	$96.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $78.03	Professional		$61.54	$61.54	$78.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $228.01 / $13,785.00	Facility		$60.09	$228.01	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $66.37	Professional		$61.54	$61.54	$66.37
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.66 / $72.40	Professional		$60.34	$63.66	$72.40