Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $54.95	Facility		$28.84	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $83.18	Professional		$33.11	$47.86	$83.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $87.10	Facility		$53.70	$53.70	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $91.20	Professional		$38.90	$38.90	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $125.89	Professional		$57.54	$93.33	$125.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $87.10 / $117.49	Facility		$32.36	$87.10	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $75.86	Professional		$38.90	$44.67	$75.86