Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Facility		$915.09	$915.09	$915.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $924.24	Professional		$915.09	$915.09	$924.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $915.09 / $915.09	Facility		$863.29	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $863.29 / $915.09 / $1,276.02	Professional		$863.29	$915.09	$1,276.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.35 / $494.94 / $494.94	Professional		$366.35	$494.94	$494.94
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,052.34	Professional		$915.09	$915.09	$1,052.34