Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $559.47	Professional		$553.94	$553.94	$559.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $1,275.00 / $1,650.00	Facility		$553.94	$1,275.00	$1,650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $574.84	Professional		$553.94	$553.94	$574.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $548.71 / $553.94 / $821.75	Professional		$548.71	$553.94	$821.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.92 / $13,785.00 / $13,785.00	Facility		$247.92	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $247.92 / $1,062.50	Professional		$247.92	$247.92	$1,062.50
United Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $553.94 / $598.86	Professional		$247.92	$553.94	$598.86