Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $109.65 / $158.49	Facility		$100.00	$109.65	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $251.19	Professional		$89.13	$109.65	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $269.15	Professional		$95.50	$154.88	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $194.98	Professional		$102.33	$138.04	$194.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $288.40	Professional		$114.82	$138.04	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $208.93	Professional		$81.28	$123.03	$208.93