Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $689.27 / $961.04	Facility		$392.09	$689.27	$961.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $425.77	Professional		$392.09	$392.09	$425.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $457.30 / $591.79	Facility		$369.90	$457.30	$591.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $401.85	Professional		$392.09	$392.09	$401.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $401.08 / $425.38	Professional		$353.90	$401.08	$425.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.40 / $1,755.27 / $13,785.00	Facility		$743.40	$1,755.27	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.59 / $408.74 / $409.30	Professional		$388.59	$408.74	$409.30
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $470.51	Professional		$156.84	$392.09	$470.51