Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $2,547.46	Facility		$123.80	$123.80	$2,547.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $125.04	Professional		$123.80	$123.80	$125.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $229.50 / $297.00	Facility		$123.80	$229.50	$297.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $140.15	Professional		$123.80	$123.80	$140.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $204.38	Professional		$123.80	$123.80	$204.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.43 / $128.43 / $238.99	Professional		$128.43	$128.43	$238.99
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $133.85	Professional		$123.80	$123.80	$133.85