Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $95.50	Professional		$70.79	$70.79	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $81.28 / $109.65	Facility		$67.61	$81.28	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $218.78	Professional		$57.54	$67.61	$218.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $9,120.11 / $23,988.33	Facility		$181.97	$9,120.11	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $125.89	Professional		$70.79	$93.33	$125.89