Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $169.82	Professional		$74.13	$93.33	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $194.98	Facility		$112.20	$112.20	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $281.84	Professional		$125.89	$204.17	$281.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $190.55 / $234.42	Facility		$66.07	$190.55	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $158.49	Professional		$85.11	$95.50	$158.49