Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.90 / $5,695.00 / $10,871.00	Facility		$208.90	$5,695.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $208.90 / $328.31	Professional		$167.33	$208.90	$328.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $314.98 / $745.32	Professional		$202.08	$314.98	$745.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $283.13 / $350.92	Professional		$198.40	$283.13	$350.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $243.68 / $555.49	Professional		$182.08	$243.68	$555.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,846.00 / $7,273.00 / $10,536.00	Facility		$1,846.00	$7,273.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $278.33 / $518.24	Professional		$168.39	$278.33	$518.24