Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $36.63 / $108.28	Facility		$14.65	$36.63	$108.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.65 / $22.65	Professional		$14.06	$14.65	$22.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $41.86 / $86.74	Facility		$13.23	$41.86	$86.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $15.48 / $27.36	Professional		$12.23	$15.48	$27.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.17 / $18.93	Professional		$8.71	$11.17	$18.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $8,702.00 / $13,785.00	Facility		$13.25	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $18.18	Professional		$13.25	$13.25	$18.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $11.36 / $26.46	Professional		$6.86	$11.36	$26.46