Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $137.71 / $220.23	Facility		$97.27	$137.71	$220.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $134.47 / $137.72	Professional		$129.62	$134.47	$137.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $178.22	Facility		$137.72	$137.72	$178.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $137.66 / $137.66	Professional		$137.66	$137.66	$137.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $13,785.00 / $13,785.00	Facility		$134.44	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $137.66 / $137.66	Professional		$31.95	$137.66	$137.66
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $162.02	Professional		$153.91	$153.91	$162.02