Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.46 / $869.18 / $1,326.00	Facility		$427.46	$869.18	$1,326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,294.80 / $1,326.00	Professional		$1,076.40	$1,294.80	$1,326.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.40 / $528.16 / $1,326.00	Facility		$433.40	$528.16	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $451.62	Professional		$356.22	$356.22	$451.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.84 / $8,702.00 / $13,785.00	Facility		$347.84	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $384.15	Professional		$356.22	$356.22	$384.15
United Facility/Professional Facility Modifier Low / Median / High Price $344.94 / $344.94 / $344.94	Facility		$344.94	$344.94	$344.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,373.58 / $1,560.00	Professional		$1,300.00	$1,373.58	$1,560.00