Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $670.26	Professional		$663.63	$663.63	$670.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $1,020.00 / $1,320.00	Facility		$663.63	$1,020.00	$1,320.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $751.27	Professional		$663.63	$663.63	$751.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $657.36 / $663.63 / $900.00	Professional		$657.36	$663.63	$900.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.37 / $13,785.00 / $13,785.00	Facility		$719.37	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $719.37 / $719.37	Professional		$600.00	$719.37	$719.37
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $758.13	Professional		$663.63	$663.63	$758.13