Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.49 / $456.00 / $629.78	Facility		$133.49	$456.00	$629.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $150.51 / $192.23	Professional		$118.08	$150.51	$192.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.92 / $555.95 / $755.06	Facility		$351.92	$555.95	$755.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $193.93 / $314.02	Professional		$112.41	$193.93	$314.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.41 / $940.89 / $2,118.46	Facility		$814.41	$940.89	$2,118.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $175.63 / $227.68	Professional		$149.29	$175.63	$227.68
United Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $201.87 / $357.49	Professional		$126.60	$201.87	$357.49