Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.84 / $611.41 / $977.75	Facility		$507.84	$611.41	$977.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $597.02 / $611.41	Professional		$575.44	$597.02	$611.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $611.41 / $791.23	Facility		$611.41	$611.41	$791.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $151.54 / $263.94	Professional		$151.54	$151.54	$263.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $13,785.00 / $13,785.00	Facility		$597.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $611.41 / $611.41	Professional		$2.38	$611.41	$611.41
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $719.30	Professional		$683.34	$683.34	$719.30