Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $22.88 / $98.78	Facility		$9.15	$22.88	$98.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $11.33 / $14.68	Professional		$9.15	$11.33	$14.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $25.64 / $54.42	Facility		$16.88	$25.64	$54.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $18.95 / $24.78	Professional		$9.15	$18.95	$24.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $8.64 / $10.36	Professional		$6.91	$8.64	$10.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
United Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $20.72	Facility		$15.54	$15.54	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.36 / $18.64	Professional		$6.91	$10.36	$18.64