Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $98.92	Professional		$97.94	$97.94	$98.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $97.94 / $107.92	Facility		$83.39	$97.94	$107.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $110.88	Professional		$97.94	$97.94	$110.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $97.94 / $145.30	Professional		$92.40	$97.94	$145.30
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 $102.09 / $102.79 / $126.26	Professional		$102.09	$102.79	$126.26
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $111.89	Professional		$97.94	$97.94	$111.89