Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $212.40 / $858.00	Facility		$180.00	$212.40	$858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $172.50 / $209.72	Professional		$100.00	$172.50	$209.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $330.56 / $687.35	Facility		$146.63	$330.56	$687.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $155.68 / $321.62	Professional		$84.18	$155.68	$321.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $157.50 / $217.50	Professional		$105.00	$157.50	$217.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $13,785.00 / $13,785.00	Facility		$150.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $153.00	Professional		$63.00	$90.00	$153.00