Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $160.51	Professional		$158.91	$158.91	$160.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $163.33 / $211.37	Facility		$149.91	$163.33	$211.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $152.91 / $172.41	Professional		$137.93	$152.91	$172.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $13,785.00 / $13,785.00	Facility		$148.76	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $158.91 / $159.16	Professional		$151.62	$158.91	$159.16
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $229.39	Professional		$63.57	$158.91	$229.39