Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $84.64 / $436.52	Facility		$84.64	$84.64	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $103.49 / $134.13	Professional		$74.76	$103.49	$134.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.91 / $303.98 / $492.07	Facility		$241.91	$303.98	$492.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $129.58 / $221.86	Professional		$85.29	$129.58	$221.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $157.96 / $215.52	Professional		$118.77	$157.96	$215.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.24 / $538.58 / $668.15	Facility		$474.24	$538.58	$668.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $113.44 / $174.30	Professional		$94.29	$113.44	$174.30
United Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $116.90 / $205.97	Professional		$76.77	$116.90	$205.97