Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $465.97	Professional		$461.36	$461.36	$465.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.70 / $446.71 / $491.38	Facility		$379.70	$446.71	$491.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $522.29	Professional		$461.36	$461.36	$522.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $425.45 / $500.53 / $684.41	Professional		$425.45	$500.53	$684.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.55 / $13,785.00 / $13,785.00	Facility		$501.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $501.55 / $501.55	Professional		$115.02	$501.55	$501.55
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $565.37	Professional		$461.36	$461.36	$565.37