Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.80 / $674.81 / $2,274.81	Facility		$674.80	$674.81	$2,274.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.11 / $658.93 / $674.81	Professional		$635.11	$658.93	$674.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.20 / $563.76 / $674.81	Facility		$479.20	$563.76	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $479.20 / $479.20 / $479.20	Professional		$479.20	$479.20	$479.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $13,785.00 / $13,785.00	Facility		$467.92	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.20 / $479.20 / $479.20	Professional		$479.20	$479.20	$479.20
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $702.06	Professional		$661.57	$661.57	$702.06