Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $53.70	Professional		$32.36	$45.71	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $269.15	Professional		$15.49	$19.05	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $50.12	Professional		$21.38	$27.54	$50.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $676.08 / $25,118.86	Facility		$48.98	$676.08	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $114.82	Professional		$42.66	$57.54	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $562.34	Facility		$257.04	$467.74	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $109.65	Professional		$21.88	$54.95	$109.65