Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $245.47	Facility		$151.36	$190.55	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $173.78	Professional		$162.18	$162.18	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $295.12	Professional		$154.88	$295.12	$295.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $8,709.64 / $23,988.33	Facility		$199.53	$8,709.64	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $371.54	Professional		$125.89	$169.82	$371.54