Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $88.86	Professional		$87.98	$87.98	$88.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $176.26 / $228.10	Facility		$87.98	$176.26	$228.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $91.30	Professional		$87.98	$87.98	$91.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $87.98 / $112.38	Professional		$83.00	$87.98	$112.38
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 $94.93 / $94.93 / $149.77	Professional		$94.93	$94.93	$149.77
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $101.18	Professional		$87.98	$87.98	$101.18