Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $83.00 / $85.00	Professional		$69.00	$83.00	$85.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $85.00 / $93.50	Facility		$72.25	$85.00	$93.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $85.00 / $85.00	Professional		$72.25	$85.00	$85.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $13,785.00 / $13,785.00	Facility		$83.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $170.58	Professional		$160.91	$160.91	$170.58