Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $505.72 / $1,078.98	Facility		$411.15	$505.72	$1,078.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $402.74 / $411.15	Professional		$333.75	$402.74	$411.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $483.70 / $532.07	Facility		$411.15	$483.70	$532.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $521.26	Professional		$411.15	$411.15	$521.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
United Facility/Professional Facility Modifier Low / Median / High Price $427.27 / $427.27 / $427.27	Facility		$427.27	$427.27	$427.27
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $425.89 / $479.67	Professional		$403.08	$425.89	$479.67