Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $162.19 / $425.17	Facility		$62.65	$162.19	$425.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $76.45 / $162.19	Professional		$57.98	$76.45	$162.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $163.83 / $340.61	Facility		$85.48	$163.83	$340.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $86.26 / $180.66	Professional		$48.10	$86.26	$180.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $78.05 / $107.78	Professional		$52.03	$78.05	$107.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $8,702.00 / $13,785.00	Facility		$52.03	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $52.03 / $52.03	Professional		$52.03	$52.03	$52.03
United Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $40.88 / $40.88	Facility		$40.88	$40.88	$40.88
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $44.60 / $99.25	Professional		$31.22	$44.60	$99.25