Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.29 / $326.29 / $326.29	Facility		$326.29	$326.29	$326.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.29 / $410.71 / $529.87	Professional		$326.29	$410.71	$529.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $958.46	Facility		$501.14	$501.14	$958.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $839.26	Professional		$365.83	$365.83	$839.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $875.62 / $881.78 / $1,255.58	Professional		$875.62	$881.78	$1,255.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.28 / $958.46 / $958.46	Professional		$912.28	$958.46	$958.46
United Facility/Professional Professional Modifier Low / Median / High Price $363.30 / $478.16 / $958.46	Professional		$363.30	$478.16	$958.46