Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $61.33 / $61.33	Facility		$61.33	$61.33	$61.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $78.39 / $113.57	Professional		$61.33	$78.39	$113.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.88 / $116.53 / $180.14	Facility		$103.88	$116.53	$180.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $208.88	Professional		$85.07	$85.07	$208.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $165.73 / $235.98	Professional		$164.57	$165.73	$235.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $180.14 / $180.14	Professional		$171.46	$180.14	$180.14
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $89.87 / $165.38	Professional		$81.23	$89.87	$165.38