Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $227.80 / $951.93	Facility		$98.15	$227.80	$951.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $144.46 / $175.94	Professional		$96.30	$144.46	$175.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.03 / $408.50 / $848.65	Facility		$181.03	$408.50	$848.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $192.23 / $397.46	Professional		$107.82	$192.23	$397.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $194.46 / $268.54	Professional		$129.63	$194.46	$268.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $6,950.00 / $8,702.00	Facility		$4,207.00	$6,950.00	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $166.68 / $222.24	Facility		$166.68	$166.68	$222.24
United Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $111.12 / $188.90	Professional		$74.08	$111.12	$188.90