Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.77 / $391.93 / $1,691.92	Facility		$156.77	$391.93	$1,691.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $230.72 / $281.00	Professional		$156.77	$230.72	$281.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.14 / $651.73 / $1,355.41	Facility		$289.14	$651.73	$1,355.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $298.16 / $628.16	Professional		$167.41	$298.16	$628.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $310.58 / $428.90	Professional		$207.05	$310.58	$428.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $8,702.00 / $13,785.00	Facility		$295.79	$8,702.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $303.18	Professional		$124.23	$177.47	$303.18