Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $1,711.37	Facility		$138.74	$138.74	$1,711.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $140.13	Professional		$138.74	$138.74	$140.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.77 / $160.55 / $207.77	Facility		$136.77	$160.55	$207.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $155.05	Professional		$138.74	$138.74	$155.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $150.52 / $229.06	Professional		$138.74	$150.52	$229.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.37 / $8,702.00 / $13,785.00	Facility		$136.37	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $136.37 / $152.77	Professional		$136.37	$136.37	$152.77
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $152.61	Professional		$138.74	$138.74	$152.61