Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.93 / $855.26 / $3,432.00	Facility		$453.93	$855.26	$3,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $453.93 / $570.00	Professional		$360.00	$453.93	$570.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.50 / $1,322.23 / $2,749.41	Facility		$586.50	$1,322.23	$2,749.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.07 / $624.73 / $1,230.43	Professional		$354.07	$624.73	$1,230.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $630.00 / $870.00	Professional		$420.00	$630.00	$870.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $13,785.00 / $13,785.00	Facility		$420.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $420.00	Professional		$420.00	$420.00	$420.00
United Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $600.00 / $1,231.54	Facility		$282.00	$600.00	$1,231.54
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $612.00	Professional		$252.00	$360.00	$612.00