Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $229.09	Professional		$100.00	$123.03	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $257.04	Facility		$169.82	$169.82	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $169.82	Professional		$123.03	$123.03	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $371.54	Professional		$169.82	$269.15	$371.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $251.19 / $316.23	Facility		$87.10	$251.19	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $208.93	Professional		$114.82	$125.89	$208.93