Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.28 / $168.20 / $497.41	Facility		$67.28	$168.20	$497.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $67.83 / $104.01	Professional		$64.56	$67.83	$104.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $191.98 / $398.48	Facility		$85.00	$191.98	$398.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $75.91 / $135.97	Professional		$53.17	$75.91	$135.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $51.31 / $86.96	Professional		$40.00	$51.31	$86.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.87 / $13,785.00 / $13,785.00	Facility		$60.87	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $60.87 / $60.87	Professional		$60.87	$60.87	$60.87
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.18 / $121.46	Professional		$36.52	$52.18	$121.46