Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $84.00 / $346.23	Facility		$33.60	$84.00	$346.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $50.00 / $80.56	Professional		$33.60	$50.00	$80.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $148.68 / $308.67	Facility		$47.07	$148.68	$308.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $52.10 / $78.50	Professional		$43.21	$52.10	$78.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $39.74 / $67.36	Professional		$30.99	$39.74	$67.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $8,702.00 / $13,785.00	Facility		$47.15	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $47.15 / $47.15	Professional		$39.43	$47.15	$47.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $40.42 / $76.34	Professional		$26.08	$40.42	$76.34