Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $364.15 / $1,572.03	Facility		$145.66	$364.15	$1,572.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $214.37 / $233.61	Professional		$145.66	$214.37	$233.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $605.54 / $1,259.36	Facility		$268.64	$605.54	$1,259.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $360.03 / $500.74	Professional		$288.57	$360.03	$500.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $6,950.00 / $12,381.00	Facility		$274.83	$6,950.00	$12,381.00
United Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
United Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $164.90 / $280.33	Professional		$109.93	$164.90	$280.33