Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $4,025.00 / $9,784.00	Facility		$56.80	$4,025.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $89.03 / $134.76	Professional		$66.30	$89.03	$134.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $61.05 / $73.77	Facility		$61.05	$61.05	$73.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $116.47 / $227.90	Professional		$67.50	$116.47	$227.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $187.31 / $233.45	Professional		$137.19	$187.31	$233.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $106.83 / $172.07	Professional		$57.60	$106.83	$172.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $127.12 / $323.36	Professional		$86.82	$127.12	$323.36