Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $30.75 / $143.00	Facility		$13.25	$30.75	$143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $19.50 / $21.25	Professional		$13.25	$19.50	$21.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $54.85 / $114.56	Facility		$24.44	$54.85	$114.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $14.63 / $14.63	Professional		$14.63	$14.63	$14.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $32.75 / $45.55	Professional		$26.25	$32.75	$45.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $8,702.00 / $13,785.00	Facility		$1,165.00	$8,702.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $13.75 / $13.75	Facility		$13.75	$13.75	$13.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $15.00 / $25.63	Professional		$9.68	$15.00	$25.63