Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $39.81 / $181.97	Facility		$33.11	$39.81	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $33.11	Professional		$12.88	$19.95	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $58.88 / $123.03	Facility		$26.30	$58.88	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $38.90	Professional		$11.48	$16.60	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $19.50	Professional		$10.72	$13.49	$19.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $10,471.29 / $25,118.86	Facility		$26.92	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.60 / $23.44	Professional		$15.49	$16.60	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.92 / $54.95	Facility		$12.59	$26.92	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $25.70	Professional		$10.72	$16.22	$25.70