Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $31.85 / $134.99	Facility		$12.74	$31.85	$134.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $15.34 / $19.69	Professional		$12.21	$15.34	$19.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $51.97 / $108.14	Facility		$16.50	$51.97	$108.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.57 / $34.07	Professional		$10.75	$13.57	$34.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $13.92 / $18.88	Professional		$10.86	$13.92	$18.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $13,785.00 / $13,785.00	Facility		$16.52	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $16.52 / $16.52	Professional		$15.80	$16.52	$16.52
United Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $14.16 / $24.64	Professional		$9.14	$14.16	$24.64