Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $143.96	Facility		$61.52	$61.52	$143.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $60.08 / $61.52	Professional		$49.94	$60.08	$61.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $72.38 / $95.51	Facility		$61.52	$72.38	$95.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $123.51	Professional		$60.31	$60.31	$123.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $13,785.00 / $13,785.00	Facility		$58.89	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $97.42	Professional		$60.31	$60.31	$97.42
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $72.38	Professional		$60.32	$60.32	$72.38