Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.45 / $600.79 / $615.26	Professional		$499.45	$600.79	$615.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $738.32 / $955.47	Facility		$615.26	$738.32	$955.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $522.97 / $615.26 / $615.26	Professional		$522.97	$615.26	$615.26
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 $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $763.65	Professional		$723.84	$723.84	$763.65