Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $90.30	Professional		$89.41	$89.41	$90.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $162.56 / $210.38	Facility		$89.41	$162.56	$210.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $101.22	Professional		$89.41	$89.41	$101.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $89.41 / $126.53	Professional		$88.57	$89.41	$126.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $13,785.00 / $13,785.00	Facility		$92.03	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $92.03 / $92.03	Professional		$74.47	$92.03	$92.03
United Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $89.41 / $96.67	Professional		$86.94	$89.41	$96.67