Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.03 / $4,540.00 / $10,871.00	Facility		$389.03	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.03 / $442.93 / $733.27	Professional		$389.03	$442.93	$733.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.21 / $637.25 / $1,225.36	Professional		$366.21	$637.25	$1,225.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.11 / $671.06 / $809.83	Professional		$465.11	$671.06	$809.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.81 / $501.43 / $875.24	Professional		$353.81	$501.43	$875.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $441.98 / $942.77	Professional		$287.33	$441.98	$942.77