Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $35.77 / $150.35	Facility		$19.39	$35.77	$150.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $21.81 / $29.97	Professional		$12.71	$21.81	$29.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $64.23 / $133.25	Facility		$20.32	$64.23	$133.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $20.57 / $41.82	Professional		$16.05	$20.57	$41.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $17.16 / $23.26	Professional		$13.38	$17.16	$23.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $8,702.00 / $13,785.00	Facility		$20.36	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $24.06	Professional		$20.36	$20.36	$24.06
United Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $17.45 / $37.11	Professional		$11.55	$17.45	$37.11