Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $194.26 / $757.11	Facility		$55.07	$194.26	$757.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $63.74 / $129.50	Professional		$53.49	$63.74	$129.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.12 / $356.54 / $741.79	Facility		$113.12	$356.54	$741.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $74.64 / $185.85	Professional		$46.64	$74.64	$185.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $81.37 / $97.13	Professional		$65.45	$81.37	$97.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $13,785.00 / $13,785.00	Facility		$113.32	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $113.32 / $113.32	Professional		$64.64	$113.32	$113.32
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $97.13 / $113.32	Professional		$56.66	$97.13	$113.32