Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $163.24	Professional		$161.62	$161.62	$163.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $364.34 / $471.49	Facility		$161.62	$364.34	$471.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $182.97	Professional		$161.62	$161.62	$182.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $266.83	Professional		$161.62	$161.62	$266.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.92 / $8,702.00 / $13,785.00	Facility		$168.92	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.81 / $171.81 / $281.45	Professional		$171.81	$171.81	$281.45
United Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $161.62 / $177.78	Professional		$157.16	$161.62	$177.78