Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $321.18	Professional		$318.00	$318.00	$321.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $1,075.08 / $1,391.29	Facility		$318.00	$1,075.08	$1,391.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $353.90	Professional		$318.00	$318.00	$353.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $318.00 / $471.75	Professional		$300.00	$318.00	$471.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.51 / $13,785.00 / $13,785.00	Facility		$273.51	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $500.93 / $1,051.96	Professional		$273.51	$500.93	$1,051.96
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $363.28	Professional		$318.00	$318.00	$363.28