Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $1,353.36	Facility		$151.16	$151.16	$1,353.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $158.72	Professional		$151.16	$151.16	$158.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $179.66 / $232.50	Facility		$151.16	$179.66	$232.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $171.13	Professional		$151.16	$151.16	$171.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $151.16 / $224.26	Professional		$142.61	$151.16	$224.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.33 / $13,785.00 / $13,785.00	Facility		$158.33	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $158.33 / $158.33	Professional		$150.02	$158.33	$158.33
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $163.44	Professional		$151.16	$151.16	$163.44