Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $208.93 / $407.38	Facility		$83.18	$208.93	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $107.15	Professional		$47.86	$66.07	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $144.54 / $302.00	Facility		$75.86	$144.54	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $134.90	Professional		$40.74	$75.86	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $123.03	Professional		$38.90	$74.13	$123.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $10,471.29 / $25,118.86	Facility		$66.07	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $66.07	Professional		$51.29	$51.29	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $134.90	Facility		$30.90	$66.07	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $89.13	Professional		$26.92	$38.90	$89.13