Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $243.11 / $559.46	Facility		$197.83	$243.11	$559.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $215.64	Professional		$197.83	$197.83	$215.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $211.18 / $273.30	Facility		$197.83	$211.18	$273.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $205.30	Professional		$197.83	$197.83	$205.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $189.86 / $241.35	Professional		$189.86	$189.86	$241.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $428.31 / $13,785.00	Facility		$194.08	$428.31	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.11 / $186.12 / $189.69	Professional		$177.11	$186.12	$189.69
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.03 / $231.33	Professional		$197.83	$209.03	$231.33