Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $661.85	Professional		$655.29	$655.29	$661.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.70 / $618.21 / $655.29	Facility		$494.70	$618.21	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $741.85	Professional		$655.29	$655.29	$741.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.01 / $655.29 / $972.14	Professional		$557.01	$655.29	$972.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.15 / $13,785.00 / $13,785.00	Facility		$940.15	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.15 / $940.15 / $1,537.00	Professional		$940.15	$940.15	$1,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $720.83	Professional		$655.29	$655.29	$720.83