Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Facility		$65.41	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $66.06	Professional		$65.41	$65.41	$66.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $61.70 / $65.40	Facility		$48.25	$61.70	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $74.04	Professional		$65.40	$65.40	$74.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.41 / $94.93	Professional		$65.40	$65.41	$94.93
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 $42.37 / $65.41 / $65.41	Professional		$42.37	$65.41	$65.41
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $74.72	Professional		$65.41	$65.41	$74.72