Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.16 / $229.16 / $229.16	Facility		$229.16	$229.16	$229.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.16 / $278.48 / $397.68	Professional		$229.16	$278.48	$397.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.65 / $389.66 / $623.59	Facility		$357.65	$389.66	$623.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $546.03	Professional		$284.45	$284.45	$546.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $569.70 / $573.70 / $816.90	Professional		$569.70	$573.70	$816.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.98 / $623.59 / $623.59	Professional		$608.98	$623.59	$623.59
United Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $333.33 / $623.59	Professional		$281.18	$333.33	$623.59