Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.60 / $885.60 / $4,118.39	Facility		$292.60	$885.60	$4,118.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $292.60 / $612.00	Professional		$292.60	$292.60	$612.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.80 / $1,587.11 / $3,299.29	Facility		$703.80	$1,587.11	$3,299.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $421.20 / $421.20	Professional		$421.20	$421.20	$421.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $943.20 / $1,311.84	Professional		$756.00	$943.20	$1,311.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $3,243.00 / $13,785.00	Facility		$720.00	$3,243.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $734.40	Professional		$302.39	$432.00	$734.40