Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $19.89 / $75.45	Facility		$10.19	$19.89	$75.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $10.29 / $15.78	Professional		$4.32	$10.29	$15.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $28.87 / $60.44	Facility		$9.22	$28.87	$60.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $10.81 / $19.10	Professional		$7.31	$10.81	$19.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.78 / $10.55	Professional		$6.07	$7.78	$10.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $8,702.00 / $13,785.00	Facility		$9.23	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $11.98	Professional		$9.23	$9.23	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.91 / $19.54	Professional		$5.25	$7.91	$19.54