Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.64 / $65.64 / $65.64	Facility		$65.64	$65.64	$65.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $83.90 / $119.30	Professional		$65.64	$83.90	$119.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $138.33 / $203.46	Facility		$109.07	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $252.38	Professional		$100.98	$100.98	$252.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $177.38 / $252.57	Professional		$176.13	$177.38	$252.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $192.80 / $192.80	Professional		$188.28	$192.80	$192.80
United Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $96.19 / $192.80	Professional		$86.93	$96.19	$192.80