Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $103.53 / $264.81	Facility		$39.31	$103.53	$264.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $39.31 / $103.53	Professional		$31.45	$39.31	$103.53
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 / $41.98 / $84.27	Professional		$23.15	$41.98	$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 $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $23.59 / $40.10	Professional		$16.30	$23.59	$40.10