Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $139.31	Professional		$137.93	$137.93	$139.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $188.09 / $243.41	Facility		$137.93	$188.09	$243.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $138.33	Professional		$137.93	$137.93	$138.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $137.93 / $198.90	Professional		$117.24	$137.93	$198.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.08 / $8,702.00 / $13,785.00	Facility		$128.08	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $128.08 / $164.20	Professional		$116.26	$128.08	$164.20
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $158.62	Professional		$137.93	$137.93	$158.62