Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $90.64	Professional		$89.75	$89.75	$90.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $84.67 / $92.77	Facility		$71.69	$84.67	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $92.92	Professional		$89.75	$89.75	$92.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $89.75 / $133.13	Professional		$84.67	$89.75	$133.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $13,785.00 / $13,785.00	Facility		$71.81	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $71.81 / $73.65	Professional		$69.62	$71.81	$73.65
United Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $89.75 / $98.73	Professional		$85.26	$89.75	$98.73