Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $1,995.26	Facility		$407.38	$426.58	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $588.84	Professional		$190.55	$263.03	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,479.11	Facility		$371.54	$707.95	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $707.95	Professional		$181.97	$338.84	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $602.56	Professional		$223.87	$338.84	$602.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $323.59	Professional		$251.19	$251.19	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $660.69	Facility		$151.36	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $338.84	Professional		$128.82	$190.55	$338.84