Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $292.74 / $1,223.32	Facility		$150.00	$292.74	$1,223.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $150.00 / $226.10	Professional		$97.54	$150.00	$226.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.65 / $524.70 / $1,090.59	Facility		$232.65	$524.70	$1,090.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $214.12 / $345.00	Professional		$95.30	$214.12	$345.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $249.90 / $345.10	Professional		$166.60	$249.90	$345.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.60 / $8,702.00 / $13,785.00	Facility		$166.60	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $166.60 / $166.60	Professional		$166.60	$166.60	$166.60
United Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $142.80 / $238.00	Professional		$83.30	$142.80	$238.00