Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $63.10	Professional		$54.95	$57.54	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $91.20	Facility		$58.88	$70.79	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $58.88	Professional		$50.12	$58.88	$58.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $11,481.54 / $25,118.86	Facility		$158.49	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Professional		$69.18	$69.18	$72.44