Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.87 / $65.88 / $65.88	Facility		$65.87	$65.88	$65.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $66.54	Professional		$65.88	$65.88	$66.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $153.00 / $198.00	Facility		$65.88	$153.00	$198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $74.58	Professional		$65.88	$65.88	$74.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $65.88 / $124.30	Professional		$59.29	$65.88	$124.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $8,702.00 / $13,785.00	Facility		$64.75	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $153.00	Professional		$64.75	$64.75	$153.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $72.47	Professional		$65.88	$65.88	$72.47