Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.80 / $1,007.00 / $4,347.20	Facility		$402.80	$1,007.00	$4,347.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $498.79 / $646.00	Professional		$402.80	$498.79	$646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.90 / $1,675.16 / $3,482.59	Facility		$742.90	$1,675.16	$3,482.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $833.91 / $1,091.86	Professional		$402.80	$833.91	$1,091.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $380.00 / $456.00	Professional		$304.00	$380.00	$456.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $13,785.00 / $13,785.00	Facility		$760.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $684.00	Professional		$608.00	$608.00	$684.00
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $684.00 / $912.00	Facility		$418.00	$684.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.25 / $456.00 / $779.00	Professional		$294.25	$456.00	$779.00