Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $215.74 / $990.00	Facility		$75.00	$215.74	$990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $105.24 / $149.09	Professional		$75.00	$105.24	$149.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.45 / $386.85 / $803.74	Facility		$171.45	$386.85	$803.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $186.38 / $367.01	Professional		$103.44	$186.38	$367.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $184.17 / $254.33	Professional		$122.78	$184.17	$254.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.78 / $8,702.00 / $13,785.00	Facility		$122.78	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $122.78 / $122.78	Professional		$122.78	$122.78	$122.78
United Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $105.24 / $179.25	Professional		$70.16	$105.24	$179.25