Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $707.95 / $1,023.29	Facility		$151.36	$707.95	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $204.17	Professional		$112.20	$151.36	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $177.83	Facility		$109.65	$162.18	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $363.08	Professional		$128.82	$218.78	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $309.03	Professional		$186.21	$213.80	$309.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $602.56 / $10,471.29	Facility		$58.88	$602.56	$10,471.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $323.59	Professional		$48.98	$57.54	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $165.96	Facility		$61.66	$102.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $288.40	Professional		$117.49	$173.78	$288.40