Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.40 / $983.50 / $4,245.78	Facility		$393.40	$983.50	$4,245.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $578.97 / $630.92	Professional		$393.40	$578.97	$630.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.57 / $1,636.18 / $3,401.34	Facility		$725.57	$1,636.18	$3,401.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $593.82 / $593.82	Professional		$593.82	$593.82	$593.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $779.38 / $972.37 / $1,352.42	Professional		$779.38	$972.37	$1,352.42
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 $308.02 / $445.36 / $760.83	Professional		$308.02	$445.36	$760.83