Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $232.40 / $1,003.29	Facility		$92.96	$232.40	$1,003.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $136.81 / $166.63	Professional		$92.96	$136.81	$166.63
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 $98.89 / $181.53 / $370.36	Professional		$98.89	$181.53	$370.36
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 $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $96.47 / $96.47	Facility		$96.47	$96.47	$96.47
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $179.79	Professional		$73.67	$105.24	$179.79