Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.47 / $427.47 / $427.47	Facility		$427.47	$427.47	$427.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.47 / $583.74 / $820.81	Professional		$427.47	$583.74	$820.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $308.45 / $1,303.96	Facility		$243.15	$308.45	$1,303.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.35 / $761.25 / $1,509.69	Professional		$406.35	$761.25	$1,509.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.51 / $1,083.31 / $1,407.29	Professional		$832.51	$1,083.31	$1,407.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.88 / $2,473.48 / $5,023.52	Facility		$2,266.88	$2,473.48	$5,023.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.55 / $534.92 / $844.69	Professional		$384.55	$534.92	$844.69
United Facility/Professional Professional Modifier Low / Median / High Price $330.65 / $655.42 / $1,136.91	Professional		$330.65	$655.42	$1,136.91