Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $53.28	Professional		$52.75	$52.75	$53.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $52.75 / $67.13	Facility		$39.75	$52.75	$67.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $57.23 / $65.20	Professional		$52.26	$57.23	$65.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $8,702.00 / $13,785.00	Facility		$51.79	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $51.79 / $51.79	Professional		$48.82	$51.79	$51.79
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $55.65	Professional		$52.75	$52.75	$55.65