Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.42 / $74.42 / $1,144.92	Facility		$74.42	$74.42	$1,144.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $192.57 / $262.41	Professional		$74.42	$192.57	$262.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $92.09 / $243.89	Facility		$67.31	$92.09	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $105.08 / $170.68	Professional		$63.37	$105.08	$170.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $139.68 / $392.75	Professional		$100.20	$139.68	$392.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.24 / $587.66 / $1,120.74	Facility		$474.24	$587.66	$1,120.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $96.07 / $237.74	Professional		$64.72	$96.07	$237.74
United Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $264.24 / $497.41	Professional		$78.34	$264.24	$497.41