Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $55.72 / $55.72	Facility		$55.72	$55.72	$55.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $57.77 / $102.49	Professional		$44.99	$57.77	$102.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.60 / $601.60 / $722.51	Facility		$601.60	$601.60	$722.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $68.93 / $75.76	Professional		$68.93	$68.93	$75.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $77.29 / $181.82	Professional		$46.24	$77.29	$181.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.15 / $1,294.08 / $1,581.13	Facility		$729.15	$1,294.08	$1,581.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $208.08 / $307.83	Professional		$69.62	$208.08	$307.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $81.06 / $336.42	Professional		$30.33	$81.06	$336.42