Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $38.53 / $146.49	Facility		$15.41	$38.53	$146.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $17.82 / $23.82	Professional		$11.89	$17.82	$23.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $62.79 / $130.60	Facility		$19.91	$62.79	$130.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $16.32 / $40.78	Professional		$13.01	$16.32	$40.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $16.82 / $22.49	Professional		$13.11	$16.82	$22.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $8,702.00 / $13,785.00	Facility		$19.95	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Facility		$15.68	$15.68	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $17.10 / $29.80	Professional		$9.98	$17.10	$29.80