Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $275.42	Professional		$131.83	$165.96	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $380.19	Facility		$204.17	$263.03	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $549.54	Professional		$251.19	$407.38	$549.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $380.19	Facility		$186.21	$229.09	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $295.12	Professional		$154.88	$194.98	$295.12