Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $218.78 / $426.58	Facility		$87.10	$218.78	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $109.65	Professional		$34.67	$54.95	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $316.23	Facility		$79.43	$151.36	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $66.07 / $102.33	Professional		$35.48	$66.07	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $128.82	Professional		$47.86	$72.44	$128.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $10,471.29 / $25,118.86	Facility		$69.18	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $69.18	Professional		$53.70	$53.70	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $69.18 / $141.25	Facility		$32.36	$69.18	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $69.18	Professional		$26.92	$40.74	$69.18