Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $149.40 / $153.00	Professional		$124.20	$149.40	$153.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $183.60 / $237.60	Facility		$153.00	$183.60	$237.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $153.00 / $153.00	Professional		$130.05	$153.00	$153.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $216.00	Professional		$180.00	$180.00	$216.00