Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $184.00	Professional		$182.18	$182.18	$184.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.67 / $158.75 / $182.18	Facility		$122.67	$158.75	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $203.82	Professional		$182.18	$182.18	$203.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $197.65 / $343.74	Professional		$168.00	$197.65	$343.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $13,785.00 / $13,785.00	Facility		$182.18	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $182.18 / $186.01	Professional		$161.16	$182.18	$186.01
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $208.12	Professional		$182.18	$182.18	$208.12