Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $51.10 / $220.62	Facility		$20.44	$51.10	$220.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $25.31 / $32.78	Professional		$20.44	$25.31	$32.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $85.17 / $176.74	Facility		$37.71	$85.17	$176.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $23.54 / $44.19	Professional		$18.51	$23.54	$44.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $21.21 / $23.37	Professional		$15.43	$21.21	$23.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $12,381.00	Facility		$8,702.00	$8,702.00	$12,381.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $9.75 / $30.86	Professional		$9.75	$9.75	$30.86
United Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $34.71 / $46.28	Facility		$21.21	$34.71	$46.28
United Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $23.14 / $39.53	Professional		$13.50	$23.14	$39.53