Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.53	Professional		$53.00	$53.00	$53.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $205.73 / $266.24	Facility		$53.00	$205.73	$266.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $60.00	Professional		$53.00	$53.00	$60.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $53.00 / $78.63	Professional		$52.50	$53.00	$78.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $13,785.00 / $13,785.00	Facility		$99.11	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $99.11 / $295.98	Professional		$99.11	$99.11	$295.98
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $57.30	Professional		$53.00	$53.00	$57.30