Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $151.63 / $654.54	Facility		$60.65	$151.63	$654.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $75.09 / $97.27	Professional		$60.65	$75.09	$97.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $251.89 / $524.36	Facility		$111.85	$251.89	$524.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $125.56 / $164.68	Professional		$60.65	$125.56	$164.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $57.22 / $68.66	Professional		$45.77	$57.22	$68.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $8,702.00 / $13,785.00	Facility		$114.43	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $82.36 / $91.54	Professional		$82.36	$82.36	$91.54
United Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $68.66 / $117.29	Professional		$40.95	$68.66	$117.29