Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.65 / $389.65 / $389.65	Facility		$389.65	$389.65	$389.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.65 / $454.20 / $639.75	Professional		$389.65	$454.20	$639.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $1,060.28	Facility		$583.49	$583.49	$1,060.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $928.42	Professional		$425.95	$425.95	$928.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $968.67 / $975.46 / $1,388.97	Professional		$968.67	$975.46	$1,388.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,035.43 / $1,060.28 / $1,060.28	Professional		$1,035.43	$1,060.28	$1,060.28
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $476.07 / $528.97 / $973.40	Professional		$476.07	$528.97	$973.40