Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $63.04	Professional		$62.41	$62.41	$63.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $103.24 / $133.61	Facility		$62.41	$103.24	$133.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $70.66	Professional		$62.41	$62.41	$70.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $62.41 / $77.13	Professional		$61.82	$62.41	$77.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $8,702.00 / $13,785.00	Facility		$63.30	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $63.30 / $89.11	Professional		$63.30	$63.30	$89.11
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $71.30	Professional		$62.41	$62.41	$71.30