Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.93	Professional		$38.54	$38.54	$38.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $57.05 / $73.83	Facility		$36.65	$57.05	$73.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $43.63	Professional		$38.54	$38.54	$43.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $63.59	Professional		$38.54	$38.54	$63.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $50.48 / $50.48	Professional		$44.36	$50.48	$50.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $41.67	Professional		$38.54	$38.54	$41.67