Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $45.66 / $45.66	Facility		$45.66	$45.66	$45.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $62.16 / $76.34	Professional		$45.66	$62.16	$76.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.62 / $97.44 / $124.27	Facility		$71.62	$97.44	$124.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $108.81	Professional		$71.13	$71.13	$108.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $114.33 / $162.79	Professional		$113.52	$114.33	$162.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $124.27 / $124.27	Professional		$121.36	$124.27	$124.27
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $156.60 / $187.92	Facility		$133.11	$156.60	$187.92
United Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $66.77 / $118.04	Professional		$57.32	$66.77	$118.04