Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Facility		$187.57	$187.57	$187.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.26 / $183.16 / $187.57	Professional		$152.26	$183.16	$187.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.68 / $187.57 / $269.83	Facility		$154.68	$187.57	$269.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $149.16 / $175.48	Professional		$149.16	$149.16	$175.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.02 / $3,243.00 / $13,785.00	Facility		$269.02	$3,243.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $286.25 / $286.25 / $286.25	Facility		$286.25	$286.25	$286.25