Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $105.73	Facility		$85.96	$85.96	$105.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $83.94 / $85.96	Professional		$69.78	$83.94	$85.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.70 / $88.46 / $101.85	Facility		$78.70	$88.46	$101.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $100.45 / $101.13	Professional		$92.59	$100.45	$101.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $8,702.00 / $13,785.00	Facility		$83.93	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $85.95 / $85.95	Professional		$85.95	$85.95	$85.95
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $143.97	Professional		$136.47	$136.47	$143.97