Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $302.00	Professional		$107.15	$158.49	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Professional		$407.38	$407.38	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $794.33	Professional		$512.86	$512.86	$794.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $407.38	Professional		$190.55	$229.09	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $380.19	Facility		$190.55	$234.42	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $354.81	Professional		$151.36	$177.83	$354.81