Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $132.66 / $132.66	Facility		$132.66	$132.66	$132.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $169.59 / $258.83	Professional		$132.66	$169.59	$258.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.96 / $229.50 / $389.70	Facility		$203.96	$229.50	$389.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $341.24	Professional		$167.54	$167.54	$341.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.02 / $358.52 / $510.51	Professional		$356.02	$358.52	$510.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.93 / $389.70 / $389.70	Professional		$370.93	$389.70	$389.70
United Facility/Professional Professional Modifier Low / Median / High Price $158.06 / $198.37 / $357.77	Professional		$158.06	$198.37	$357.77