Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $31.63 / $131.43	Facility		$12.65	$31.63	$131.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $14.64 / $23.47	Professional		$12.13	$14.64	$23.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $56.30 / $117.17	Facility		$17.87	$56.30	$117.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $19.67 / $36.65	Professional		$12.82	$19.67	$36.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.06 / $20.46	Professional		$10.23	$14.06	$20.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $13,785.00 / $13,785.00	Facility		$17.89	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $17.89 / $17.89	Professional		$14.84	$17.89	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $15.34 / $25.96	Professional		$9.90	$15.34	$25.96