Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Facility		$349.02	$349.02	$349.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $352.51	Professional		$349.02	$349.02	$352.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $408.00 / $528.00	Facility		$349.01	$408.00	$528.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $388.88	Professional		$349.01	$349.01	$388.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $329.26 / $349.02 / $658.52	Professional		$329.26	$349.02	$658.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.51 / $13,785.00 / $13,785.00	Facility		$360.51	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $968.98 / $968.98	Professional		$383.25	$968.98	$968.98
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $377.36	Professional		$349.02	$349.02	$377.36