Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $104.05 / $147.78	Facility		$104.05	$104.05	$147.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $89.91 / $105.05	Professional		$77.08	$89.91	$105.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $377.85 / $623.75	Facility		$314.62	$377.85	$623.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $123.47 / $197.44	Professional		$91.07	$123.47	$197.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $113.19 / $160.51	Professional		$83.50	$113.19	$160.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.40 / $675.13 / $824.88	Facility		$380.40	$675.13	$824.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $97.90 / $169.80	Professional		$67.40	$97.90	$169.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $88.78 / $165.59	Professional		$61.08	$88.78	$165.59