Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $44.19 / $45.25	Professional		$36.74	$44.19	$45.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $39.58 / $45.25	Facility		$30.58	$39.58	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $30.58	Professional		$30.58	$30.58	$30.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $30.58	Professional		$30.58	$30.58	$30.58
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $47.96	Professional		$44.36	$44.36	$47.96