Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $812.83 / $1,819.70	Facility		$323.59	$812.83	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $371.54	Professional		$169.82	$204.17	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $1,174.90	Facility		$295.12	$562.34	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $537.03	Professional		$147.91	$275.42	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $489.78	Professional		$151.36	$269.15	$489.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $10,471.29 / $25,118.86	Facility		$151.36	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $257.04	Professional		$204.17	$204.17	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $524.81	Facility		$120.23	$257.04	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $263.03	Professional		$102.33	$151.36	$263.03