Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.71	Professional		$39.31	$39.31	$39.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $94.96 / $122.89	Facility		$39.31	$94.96	$122.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $44.51	Professional		$39.31	$39.31	$44.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $39.31 / $55.64	Professional		$38.94	$39.31	$55.64
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 $46.16 / $969.00 / $969.00	Professional		$46.16	$969.00	$969.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $44.91	Professional		$39.31	$39.31	$44.91