Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $102.04	Professional		$101.03	$101.03	$102.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $128.50 / $166.30	Facility		$101.03	$128.50	$166.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $114.37	Professional		$101.03	$101.03	$114.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $101.03 / $149.87	Professional		$95.31	$101.03	$149.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $13,785.00 / $13,785.00	Facility		$105.46	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $105.46 / $112.80	Professional		$95.88	$105.46	$112.80
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $109.23	Professional		$101.03	$101.03	$109.23