Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $852.22	Facility		$134.88	$134.88	$852.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $136.22	Professional		$134.88	$134.88	$136.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $141.47 / $183.08	Facility		$134.88	$141.47	$183.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $139.97	Professional		$134.88	$134.88	$139.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $146.34 / $190.88	Professional		$124.39	$146.34	$190.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.47 / $13,785.00 / $13,785.00	Facility		$136.47	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $146.78	Professional		$136.47	$136.47	$146.78
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $142.31	Professional		$134.88	$134.88	$142.31