Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $68.56 / $130.99	Facility		$46.32	$68.56	$130.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $63.82	Professional		$46.32	$46.32	$63.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $95.50 / $123.59	Facility		$46.32	$95.50	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $48.07	Professional		$46.32	$46.32	$48.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $62.72	Professional		$46.32	$46.32	$62.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $91.99 / $13,785.00	Facility		$46.35	$91.99	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $49.96 / $66.23	Professional		$43.90	$49.96	$66.23
United Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $48.64 / $61.77	Professional		$46.32	$48.64	$61.77