Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $99.09	Professional		$98.11	$98.11	$99.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $240.04 / $310.64	Facility		$98.11	$240.04	$310.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $111.06	Professional		$98.11	$98.11	$111.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $98.11 / $161.96	Professional		$98.10	$98.11	$161.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.26 / $8,702.00 / $13,785.00	Facility		$94.26	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $93.57 / $240.04	Professional		$93.57	$93.57	$240.04
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $107.92	Professional		$98.11	$98.11	$107.92