Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $63.15 / $63.15	Facility		$43.19	$63.15	$63.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $44.92 / $63.65	Professional		$35.54	$44.92	$63.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $58.40 / $256.70	Facility		$33.40	$58.40	$256.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $61.66 / $116.69	Professional		$33.74	$61.66	$116.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $70.66 / $92.52	Professional		$54.96	$70.66	$92.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $223.16 / $453.25	Facility		$180.09	$223.16	$453.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $52.20 / $94.39	Professional		$41.23	$52.20	$94.39
United Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $55.43 / $111.39	Professional		$35.08	$55.43	$111.39