Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $107.15	Professional		$75.86	$75.86	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $114.82	Facility		$70.79	$89.13	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Professional		$75.86	$75.86	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $831.76 / $977.24	Professional		$154.88	$831.76	$977.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $11,481.54 / $25,118.86	Facility		$194.98	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $954.99	Professional		$70.79	$125.89	$954.99