Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $630.96	Professional		$263.03	$389.05	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $416.87 / $676.08	Facility		$380.19	$416.87	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,000.00	Professional		$446.68	$724.44	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $776.25	Facility		$309.03	$501.19	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $562.34	Professional		$302.00	$354.81	$562.34