Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $453.90	Professional		$449.41	$449.41	$453.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $1,173.00 / $1,518.00	Facility		$449.41	$1,173.00	$1,518.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $508.76	Professional		$449.41	$449.41	$508.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $423.97 / $449.41 / $666.69	Professional		$423.97	$449.41	$666.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.72 / $13,785.00 / $13,785.00	Facility		$482.72	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.65 / $483.65 / $1,326.00	Professional		$483.65	$483.65	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $494.35	Professional		$449.41	$449.41	$494.35