Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $66.48 / $244.62	Facility		$47.17	$66.48	$244.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $39.31 / $66.48	Professional		$30.66	$39.31	$66.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $86.61 / $180.13	Facility		$38.43	$86.61	$180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $40.77 / $84.27	Professional		$23.15	$40.77	$84.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $41.28 / $57.00	Professional		$27.52	$41.28	$57.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $13,785.00 / $13,785.00	Facility		$39.31	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $39.00	Facility		$21.62	$21.62	$39.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $40.10	Professional		$16.51	$23.59	$40.10