Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $380.00 / $1,104.00	Facility		$86.38	$380.00	$1,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $78.50 / $118.31	Professional		$60.18	$78.50	$118.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $95.68 / $114.91	Facility		$95.68	$95.68	$114.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $108.68 / $198.47	Professional		$79.97	$108.68	$198.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $106.45 / $139.32	Professional		$72.48	$106.45	$139.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.51 / $108.04 / $112.19	Facility		$101.51	$108.04	$112.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $101.06 / $155.91	Professional		$80.20	$101.06	$155.91
United Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $90.08 / $142.31	Professional		$57.06	$90.08	$142.31