Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $369.00 / $1,542.00	Facility		$66.20	$369.00	$1,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $66.20 / $255.00	Professional		$52.85	$66.20	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.25 / $661.11 / $1,374.71	Facility		$293.25	$661.11	$1,374.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $179.12 / $435.00	Professional		$51.56	$179.12	$435.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $315.00 / $435.00	Professional		$210.00	$315.00	$435.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $8,702.00 / $13,785.00	Facility		$210.00	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Professional		$210.00	$210.00	$210.00
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $360.00	Facility		$270.00	$270.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $139.86 / $180.00	Professional		$43.80	$139.86	$180.00