Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $47.22 / $47.22	Facility		$47.22	$47.22	$47.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $63.15 / $85.82	Professional		$47.22	$63.15	$85.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $86.66 / $138.69	Facility		$78.51	$86.66	$138.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $121.45	Professional		$63.26	$63.26	$121.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $127.60 / $181.70	Professional		$126.71	$127.60	$181.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $138.69 / $138.69	Professional		$135.44	$138.69	$138.69
United Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $69.19 / $138.69	Professional		$62.47	$69.19	$138.69