Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $92.45	Professional		$91.54	$91.54	$92.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $91.54 / $96.02	Facility		$74.20	$91.54	$96.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $91.54 / $129.54	Professional		$86.36	$91.54	$129.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $13,785.00 / $13,785.00	Facility		$68.56	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $67.97 / $68.56	Professional		$63.68	$67.97	$68.56
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $101.98	Professional		$91.54	$91.54	$101.98