Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $453.21 / $914.88	Facility		$356.93	$453.21	$914.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $389.05	Professional		$356.93	$356.93	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $374.62 / $484.80	Facility		$356.93	$374.62	$484.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $370.40	Professional		$356.93	$356.93	$370.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $341.63 / $435.45	Professional		$341.63	$341.63	$435.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.28 / $1,514.28 / $13,785.00	Facility		$614.28	$1,514.28	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.38 / $324.61 / $333.79	Professional		$307.38	$324.61	$333.79
United Facility/Professional Facility Modifier Low / Median / High Price $727.84 / $727.84 / $727.84	Facility		$727.84	$727.84	$727.84
United Facility/Professional Professional Modifier Low / Median / High Price $338.53 / $372.38 / $405.08	Professional		$338.53	$372.38	$405.08