Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $198.75 / $858.00	Facility		$79.50	$198.75	$858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $117.00 / $127.50	Professional		$79.50	$117.00	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $330.56 / $687.35	Facility		$146.63	$330.56	$687.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $87.75 / $87.75	Professional		$87.75	$87.75	$87.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $196.50 / $273.30	Professional		$157.50	$196.50	$273.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $90.00 / $153.00	Professional		$60.00	$90.00	$153.00