Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $287.82 / $1,338.48	Facility		$82.93	$287.82	$1,338.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $82.93 / $198.90	Professional		$82.93	$82.93	$198.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $516.04 / $1,072.27	Facility		$228.74	$516.04	$1,072.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $242.83 / $502.10	Professional		$131.33	$242.83	$502.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $245.70 / $339.30	Professional		$163.80	$245.70	$339.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $13,785.00 / $13,785.00	Facility		$234.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $238.68	Professional		$98.28	$140.40	$238.68