Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $891.25 / $1,288.25	Facility		$173.78	$891.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $302.00	Professional		$169.82	$208.93	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $1,023.29	Facility		$316.23	$537.03	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $467.74	Professional		$223.87	$389.05	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,412.54 / $12,589.25	Facility		$134.90	$1,412.54	$12,589.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $891.25	Professional		$295.12	$537.03	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $1,023.29	Facility		$489.78	$602.56	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $724.44	Professional		$295.12	$407.38	$724.44