Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $109.69	Facility		$106.70	$106.70	$109.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $107.77	Professional		$106.70	$106.70	$107.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $437.08 / $565.63	Facility		$106.70	$437.08	$565.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $120.79	Professional		$106.70	$106.70	$120.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $176.16	Professional		$106.70	$106.70	$176.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $207.72	Professional		$37.50	$37.50	$207.72
United Facility/Professional Facility Modifier Low / Median / High Price $223.12 / $223.12 / $223.12	Facility		$223.12	$223.12	$223.12
United Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $106.70 / $117.37	Professional		$103.76	$106.70	$117.37