Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $102.73	Professional		$101.72	$101.72	$102.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $116.97 / $151.37	Facility		$101.72	$116.97	$151.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $115.15	Professional		$101.72	$101.72	$115.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $110.35 / $167.93	Professional		$101.72	$110.35	$167.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $8,702.00 / $13,785.00	Facility		$102.18	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $102.18 / $123.33	Professional		$102.18	$102.18	$123.33
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $124.65	Professional		$101.72	$101.72	$124.65