Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.96 / $128.96 / $128.96	Facility		$128.96	$128.96	$128.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $137.34 / $184.42	Professional		$123.81	$137.34	$184.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.61 / $177.64 / $350.91	Facility		$175.61	$177.64	$350.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $307.27	Professional		$129.68	$129.68	$307.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $320.61 / $322.83 / $459.69	Professional		$320.61	$322.83	$459.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.69 / $350.91 / $350.91	Professional		$342.69	$350.91	$350.91
United Facility/Professional Professional Modifier Low / Median / High Price $157.57 / $182.13 / $350.91	Professional		$157.57	$182.13	$350.91