Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $133.80 / $133.80	Facility		$133.80	$133.80	$133.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $153.81 / $177.05	Professional		$121.32	$153.81	$177.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $393.04	Facility		$190.69	$190.69	$393.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $341.63	Professional		$139.19	$139.19	$341.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $359.08 / $361.60 / $514.88	Professional		$359.08	$361.60	$514.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.83 / $393.04 / $393.04	Professional		$383.83	$393.04	$393.04
United Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $196.09 / $393.04	Professional		$133.54	$196.09	$393.04