Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $29.07 / $29.07	Facility		$29.07	$29.07	$29.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $25.89 / $29.27	Professional		$21.70	$25.89	$29.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $75.95 / $91.22	Facility		$75.95	$75.95	$91.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $29.74	Professional		$29.74	$29.74	$29.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.67 / $172.88 / $196.57	Facility		$90.67	$172.88	$196.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $32.77 / $53.66	Professional		$22.28	$32.77	$53.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $7,250.00 / $10,536.00	Facility		$1,685.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $30.04 / $58.25	Professional		$21.25	$30.04	$58.25