Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $237.64	Facility		$39.26	$39.26	$237.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $51.59 / $68.45	Professional		$39.26	$51.59	$68.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.03 / $131.99 / $187.33	Facility		$111.03	$131.99	$187.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $61.36 / $106.69	Professional		$43.82	$61.36	$106.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $79.34 / $116.16	Professional		$53.35	$79.34	$116.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $1,333.03 / $1,515.61	Facility		$49.41	$1,333.03	$1,515.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $55.31 / $72.18	Professional		$47.01	$55.31	$72.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $57.38 / $100.96	Professional		$39.78	$57.38	$100.96