Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.92 / $258.92 / $258.92	Facility		$258.92	$258.92	$258.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.92 / $306.61 / $441.50	Professional		$258.92	$306.61	$441.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $432.60 / $704.57	Facility		$396.05	$432.60	$704.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $616.95	Professional		$315.80	$315.80	$616.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $643.67 / $648.20 / $922.99	Professional		$643.67	$648.20	$922.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.95 / $670.62 / $704.57	Professional		$616.95	$670.62	$704.57
United Facility/Professional Facility Modifier Low / Median / High Price $456.41 / $520.28 / $520.39	Facility		$456.41	$520.28	$520.39
United Facility/Professional Professional Modifier Low / Median / High Price $317.69 / $397.88 / $646.83	Professional		$317.69	$397.88	$646.83