Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $331.62 / $669.43	Facility		$256.08	$331.62	$669.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $281.70	Professional		$256.08	$256.08	$281.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $256.45 / $331.89	Facility		$256.08	$256.45	$331.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $265.75	Professional		$256.08	$256.08	$265.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.75 / $265.75 / $312.43	Professional		$265.75	$265.75	$312.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.73 / $938.31 / $13,785.00	Facility		$440.73	$938.31	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $249.02 / $255.09	Professional		$236.54	$249.02	$255.09
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $270.17 / $299.10	Professional		$256.08	$270.17	$299.10