Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $114.82	Professional		$50.12	$61.66	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $131.83	Facility		$74.13	$75.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $190.55	Professional		$85.11	$138.04	$190.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $134.90	Facility		$43.65	$87.10	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $104.71	Professional		$57.54	$64.57	$104.71