Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.36 / $5,834.00 / $10,202.00	Facility		$314.36	$5,834.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $305.26 / $515.83	Professional		$263.64	$305.26	$515.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.31 / $445.30 / $947.58	Professional		$289.31	$445.30	$947.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $468.75 / $506.21	Professional		$279.72	$468.75	$506.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,139.98 / $3,139.98 / $3,890.91	Facility		$3,139.98	$3,139.98	$3,890.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.92 / $364.51 / $711.43	Professional		$248.92	$364.51	$711.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $429.42 / $915.19	Professional		$267.60	$429.42	$915.19