Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $76.55	Professional		$75.79	$75.79	$76.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $969.00 / $1,254.00	Facility		$75.79	$969.00	$1,254.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $85.80	Professional		$75.79	$75.79	$85.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $75.79 / $112.44	Professional		$75.08	$75.79	$112.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $13,785.00 / $13,785.00	Facility		$71.50	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $71.50 / $596.70	Professional		$71.50	$71.50	$596.70
United Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $75.79 / $86.58	Professional		$73.70	$75.79	$86.58