Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $14.35 / $91.11	Facility		$3.22	$14.35	$91.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $11.86 / $19.22	Professional		$3.22	$11.86	$19.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $43.56 / $99.80	Facility		$15.22	$43.56	$99.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $12.45 / $28.12	Professional		$10.43	$12.45	$28.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.98 / $17.42	Professional		$8.71	$11.98	$17.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $13,785.00 / $13,785.00	Facility		$15.25	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $15.25 / $15.25	Professional		$3.95	$15.25	$15.25
United Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $11.98	Facility		$11.98	$11.98	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $12.72 / $14.16	Professional		$6.23	$12.72	$14.16