Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.08 / $1,698.00 / $4,074.00	Facility		$402.08	$1,698.00	$4,074.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $402.08 / $525.00	Professional		$206.79	$402.08	$525.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.02 / $366.15 / $458.66	Facility		$315.02	$366.15	$458.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $275.52 / $468.31	Professional		$161.68	$275.52	$468.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.77 / $283.04 / $492.90	Professional		$234.77	$283.04	$492.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.19 / $223.10 / $331.61	Professional		$188.19	$223.10	$331.61
United Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $233.14 / $436.61	Professional		$178.11	$233.14	$436.61