Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.72 / $399.30 / $1,723.72	Facility		$159.72	$399.30	$1,723.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $235.05 / $256.14	Professional		$159.72	$235.05	$256.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.57 / $664.00 / $1,380.89	Facility		$294.57	$664.00	$1,380.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.42 / $394.77 / $549.05	Professional		$316.42	$394.77	$549.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.95 / $210.95 / $12,381.00	Facility		$210.95	$210.95	$12,381.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $307.38	Professional		$126.57	$180.81	$307.38