Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $69.17	Professional		$68.48	$68.48	$69.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $90.51 / $117.13	Facility		$32.13	$90.51	$117.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $71.06	Professional		$68.48	$68.48	$71.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $68.48 / $87.22	Professional		$58.22	$68.48	$87.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $8,702.00 / $13,785.00	Facility		$68.48	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $68.48 / $89.39	Professional		$66.70	$68.48	$89.39
United Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $68.48 / $82.19	Professional		$64.72	$68.48	$82.19