Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.84	Professional		$80.04	$80.04	$80.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $425.55 / $550.72	Facility		$80.04	$425.55	$550.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $90.61	Professional		$80.04	$80.04	$90.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $80.04 / $118.74	Professional		$68.03	$80.04	$118.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $8,702.00 / $13,785.00	Facility		$80.04	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $80.04 / $80.04	Professional		$33.35	$80.04	$80.04
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $91.44	Professional		$80.04	$80.04	$91.44