Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $124.60 / $451.70	Facility		$49.84	$124.60	$451.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $57.68 / $77.04	Professional		$46.71	$57.68	$77.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $193.43 / $402.70	Facility		$61.41	$193.43	$402.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $52.80 / $126.48	Professional		$42.07	$52.80	$126.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $48.33 / $70.30	Professional		$37.88	$48.33	$70.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $87.88 / $13,785.00	Facility		$61.52	$87.88	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52
United Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $52.73 / $95.43	Professional		$32.29	$52.73	$95.43