Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $124.50 / $127.50	Professional		$103.50	$124.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $127.50 / $140.25	Facility		$108.38	$127.50	$140.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $127.50 / $127.50	Professional		$108.38	$127.50	$127.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $13,785.00 / $13,785.00	Facility		$124.50	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $158.25	Professional		$150.00	$150.00	$158.25