Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.88 / $355.88 / $355.88	Facility		$355.88	$355.88	$355.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $355.88 / $391.46	Professional		$355.88	$355.88	$391.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $416.64 / $539.19	Facility		$408.00	$416.64	$539.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $408.00 / $408.00	Professional		$346.80	$408.00	$408.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,628.00 / $13,785.00 / $13,785.00	Facility		$7,628.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $506.40	Professional		$480.00	$480.00	$506.40