Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $83.30 / $264.81	Facility		$43.94	$83.30	$264.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $39.31 / $83.30	Professional		$29.30	$39.31	$83.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $80.83 / $167.81	Facility		$35.79	$80.83	$167.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $39.09 / $78.65	Professional		$21.66	$39.09	$78.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $38.45 / $53.10	Professional		$25.63	$38.45	$53.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $13,785.00 / $13,785.00	Facility		$36.61	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $36.61 / $75.16	Facility		$17.21	$36.61	$75.16
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $21.97 / $37.35	Professional		$15.20	$21.97	$37.35