Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $359.55 / $805.80	Facility		$255.00	$359.55	$805.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $249.00 / $255.00	Professional		$240.00	$249.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $330.00	Facility		$255.00	$255.00	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $255.00 / $255.00	Professional		$225.00	$255.00	$255.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.28 / $512.71 / $13,785.00	Facility		$423.28	$512.71	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $300.00	Professional		$100.00	$250.00	$300.00