Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.43 / $71.43 / $71.43	Facility		$71.43	$71.43	$71.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $86.80 / $126.42	Professional		$71.43	$86.80	$126.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $194.38	Facility		$120.62	$120.62	$194.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $170.20	Professional		$88.05	$88.05	$170.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $178.83 / $254.64	Professional		$177.58	$178.83	$254.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $129.30 / $129.30	Professional		$122.55	$129.30	$129.30
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $102.26 / $194.38	Professional		$87.56	$102.26	$194.38