Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $43.73 / $43.73	Facility		$43.73	$43.73	$43.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $56.00 / $69.63	Professional		$43.73	$56.00	$69.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $75.81 / $128.46	Facility		$74.40	$75.81	$128.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $112.48	Professional		$55.35	$55.35	$112.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.18 / $168.28	Professional		$117.36	$118.18	$168.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $128.46 / $128.46	Professional		$122.27	$128.46	$128.46
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $64.09 / $128.46	Professional		$52.52	$64.09	$128.46