Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $39.84 / $39.84	Facility		$39.84	$39.84	$39.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $50.93 / $63.26	Professional		$39.84	$50.93	$63.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $117.04	Facility		$75.70	$75.70	$117.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $135.75	Professional		$55.27	$55.27	$135.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $107.68 / $153.32	Professional		$106.92	$107.68	$153.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $117.04 / $117.04	Professional		$114.30	$117.04	$117.04
United Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $58.39 / $96.35	Professional		$52.55	$58.39	$96.35