Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $33.17 / $33.17	Facility		$33.17	$33.17	$33.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $33.17 / $141.94	Professional		$25.76	$33.17	$141.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $141.91 / $260.91	Professional		$76.89	$141.91	$260.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $175.97 / $192.62	Professional		$129.82	$175.97	$192.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $128.86 / $193.99	Professional		$42.31	$128.86	$193.99
United Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $123.91 / $255.11	Professional		$72.12	$123.91	$255.11