Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $117.12 / $117.12	Facility		$117.12	$117.12	$117.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $97.16 / $118.30	Professional		$54.00	$97.16	$118.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $68.13 / $510.58	Professional		$21.97	$68.13	$510.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $87.94 / $87.94	Professional		$87.94	$87.94	$87.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $52.62 / $109.40	Professional		$34.94	$52.62	$109.40
United Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $53.96 / $102.86	Professional		$35.40	$53.96	$102.86