Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $260.20 / $466.00	Facility		$29.24	$260.20	$466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $254.08 / $260.20	Professional		$244.90	$254.08	$260.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.01 / $260.20 / $305.43	Facility		$236.01	$260.20	$305.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,785.00 / $13,785.00 / $13,785.00	Facility		$13,785.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $260.20 / $260.20	Professional		$38.96	$260.20	$260.20
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $269.13	Professional		$255.10	$255.10	$269.13