Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $120.99 / $120.99	Facility		$120.99	$120.99	$120.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $166.72 / $213.46	Professional		$120.99	$166.72	$213.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.68 / $243.89 / $355.41	Facility		$203.68	$243.89	$355.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $437.25	Professional		$178.04	$178.04	$437.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $324.69 / $326.98 / $465.59	Professional		$324.69	$326.98	$465.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $338.29 / $355.41	Professional		$311.20	$338.29	$355.41
United Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $177.31 / $355.41	Professional		$160.09	$177.31	$355.41