Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $133.22	Professional		$131.90	$131.90	$133.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $217.86 / $299.51	Facility		$131.90	$217.86	$299.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $149.32	Professional		$131.90	$131.90	$149.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $131.90 / $217.75	Professional		$130.65	$131.90	$217.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $13,785.00 / $13,785.00	Facility		$133.66	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $133.66 / $155.44	Professional		$133.66	$133.66	$155.44
United Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $131.90 / $142.61	Professional		$128.26	$131.90	$142.61