Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Facility		$245.30	$245.30	$245.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $247.76	Professional		$245.30	$245.30	$247.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $283.02 / $366.27	Facility		$245.30	$283.02	$366.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $277.24	Professional		$245.30	$245.30	$277.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $245.30 / $313.33	Professional		$231.42	$245.30	$313.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $13,785.00 / $13,785.00	Facility		$247.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.58 / $247.02 / $248.37	Professional		$216.58	$247.02	$248.37
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $265.22	Professional		$245.30	$245.30	$265.22