Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.80 / $503.40 / $1,631.02	Facility		$266.80	$503.40	$1,631.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $302.04 / $427.89	Professional		$266.80	$302.04	$427.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.07 / $1,109.31 / $2,306.75	Facility		$492.07	$1,109.31	$2,306.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $525.00 / $656.25	Professional		$266.80	$525.00	$656.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $251.70 / $302.04	Professional		$201.36	$251.70	$302.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $8,702.00 / $13,785.00	Facility		$1,165.00	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $402.72	Professional		$74.73	$74.73	$402.72
United Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $302.04 / $515.99	Professional		$201.36	$302.04	$515.99