Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $72.27	Professional		$71.55	$71.55	$72.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $88.54 / $114.59	Facility		$12.58	$88.54	$114.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $74.25	Professional		$71.55	$71.55	$74.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $71.55 / $88.43	Professional		$70.88	$71.55	$88.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $13,785.00 / $13,785.00	Facility		$71.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $71.55 / $71.55	Professional		$32.99	$71.55	$71.55
United Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $71.55 / $77.36	Professional		$69.58	$71.55	$77.36