Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $503.71 / $999.23	Facility		$422.89	$503.71	$999.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $460.95	Professional		$422.89	$422.89	$460.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $479.46 / $620.48	Facility		$422.89	$479.46	$620.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $438.85	Professional		$422.89	$422.89	$438.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $438.85 / $438.85 / $572.61	Professional		$438.85	$438.85	$572.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.01 / $839.86 / $13,785.00	Facility		$409.01	$839.86	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $409.52 / $444.87	Professional		$409.01	$409.52	$444.87
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $446.15 / $507.47	Professional		$422.89	$446.15	$507.47