Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $57.22 / $58.60	Professional		$47.57	$57.22	$58.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $70.31 / $91.00	Facility		$58.60	$70.31	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $58.60 / $58.60	Professional		$49.81	$58.60	$58.60
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 $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
United Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $68.94 / $72.73	Professional		$67.04	$68.94	$72.73