Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $298.07 / $867.28	Facility		$253.36	$298.07	$867.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $247.40 / $253.36	Professional		$205.67	$247.40	$253.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.75 / $253.36 / $280.50	Facility		$216.75	$253.36	$280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $250.84 / $253.36	Professional		$213.21	$250.84	$253.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $1,165.00 / $13,785.00	Facility		$485.07	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.92 / $229.86 / $245.95	Professional		$218.92	$229.86	$245.95
United Facility/Professional Professional Modifier Low / Median / High Price $234.73 / $248.39 / $273.23	Professional		$234.73	$248.39	$273.23