Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $489.26 / $489.26	Facility		$489.26	$489.26	$489.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.16 / $477.75 / $489.26	Professional		$397.16	$477.75	$489.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.17 / $508.43 / $559.27	Facility		$432.17	$508.43	$559.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $508.43	Professional		$508.43	$508.43	$508.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.20 / $494.20 / $620.28	Professional		$494.20	$494.20	$620.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.75 / $1,937.74 / $13,785.00	Facility		$477.75	$1,937.74	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.26 / $489.26 / $489.26	Professional		$489.26	$489.26	$489.26
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $640.76	Professional		$575.60	$575.60	$640.76